Coronary angiography fnding of exercise tread mill test positive patients in a tertiary care center
Journal Title: Nepalese Heart Journal - Year 2017, Vol 14, Issue 1
Abstract
Background and Aims: The use of coronary angiography in diagnosing coronary artery disease is limited by its invasive property. In the other hand correct interpretation of tread mill test data and its use as a key diagnostic modality also has been a problem. The study was thus aimed to see the diagnostic accuracy of treadmill test to rule out coronary artery disease. Methods: : We included all the patients who had positive tread mill stress test and underwent coronary angiography and were subsequently analyzed for presence of coronary artery disease. Results: A total of 303 patients were included with 119 males and 184 females with mean age of 53.6 ±10.5 yrs and 51.7±8.6 yrs respectively. Normal coronaries was seen in 114(54.0%), borderline lesion in 29 (13.7%) and signifcant lesion in 68 (32.2%) with 48(22.7%) having single vessel disease, 29(13.7%) double vessel disease and 14(6.6%) triple vessel disease. Coronary artery diseases was highest among diabetics (57.7%, OR 1.72 (95 % CI: 0.92 to 3.20), p value-0.08).Similarly the risk of coronary artery disease was signifcantly highest among patient with ≥2 risk factor (OR: 8.10,95 % CI: 4.96 to 13.24, P < 0.0001). Gender distribution showed that coronary artery disease was signifcantly higher in males than females (53% vs 35% respectively, OR: 2.08, 95 % CI: 1.30 to 3.32, p value-0.002). Conclusion: The value of tread mill test to predict coronary artery disease is highest in patients with two or more risk factor especially in those with diabetes with signifcance increased among males.
Authors and Affiliations
Amit Shrestha| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal, Sanjeev Thapa| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal, Sheelendra Shakya| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal, Ravi Shahi| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal, Chandra Mani Paudel| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal, Surya Raj Pathak| Department of Cardiology, Manmohan Cardio Vascular Thoracic and Transplant Centre, Institute of Medicine Tribhuwan University Teaching Hospital, Kathmandu, Nepal
Keywords
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- EP ID EP15777
- DOI http://dx.doi.org/10.3126/njh.v14i1.17190
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