Background: Coronary artery disease (CAD) is one of the most common causes of mortality worldwide. Several studies have demonstrated that some areas of the coronary arteries are more prone to thrombosis. This study investigated the associations between angiographic findings and risk factors for coronary artery disease.
Methods: This cross-sectional study investigated the total number of patients with ST-elevation myocardial infarction (STEMI) referred to the angiography department at Hazrat-E-Rasool Hospital from 21st March 2017 to 20th March 2018. All patients underwent standard coronary angiography; if necessary, a stent was deployed in the infarct-related artery (IRA). The referrals were made through emergency medical services (EMS) or the hospital's emergency department.
Results: Fifty-two patients were enrolled as STEMI patients and underwent coronary angiography at Hazrat-E-Rasool Hospital in 1396. The mean age of the patients was 59.7±12.7 years, and 78.9% were males. The most frequently involved vessels were the left anterior descending (LAD), right coronary artery (RCA), and left circumflex(LCX) Most lesions in the LAD were located in the mid-segment, while in the RCA and LCX, the involvement predominantly occurred in the proximal segment.
Conclusions: The results of our study demonstrated that the LAD artery is the most commonly involved vessel. Additionally, male sex, family history, and smoking are considered risk factors at a younger age, while diabetes, hypertension, and chronic kidney disease (CKD) play significant roles in older generations.