Frequency of various coronary risk factors in patients with acute coronary syndrome having coronary ectasia

Abstract

BACKGROUND: Coronary artery ectasia (CAE) is the aneurysmal dilatation of coronary arteries, which can be local or generalized. It is deliberated as the variant of coronary atherosclerosis. CAE occurs due to several risk factors of cardiovascular diseases. AIMS AND OBJECTIVE: To assess the frequency of various coronary risk factors in patients with acute coronary syndrome having coronary ectasia. MATERIAL AND METHODS: This cross sectional study was carried out at the department of cardiology, Mayo hospital, Lahore over the duration of 6 months from 01-11-2017 to 30-04-2018. Total 135 patients fulfilling the selection criteria were recruited. History of patient regarding coronary risk factors was obtained including DM, smoking, hypertension and hyperlipidemia. RESULTS: The mean age of patients was 59.70±11.29years. There were 75 (55.6%) males and 60 (44.4%) females. The mean BMI of patients was 27.43±4.77kg/m2. In this study, 39 (28.9%) had STEMI, 45 (33.3%) had NSTEMI while 51 (37.8%) had UA. In this study, 93 (68.9%) patients had hypertension, 41 (30.4%) patients had diabetes, 43 (31.9%) patients were smokers and66 (48.9%) patients had hyperlipidemia. CONCLUSION: Frequency of certain risk factors causing coronary artery ectasia in patients having ACS is high in local population. KEY WORDS: Coronary factors, acute coronary syndrome, coronary ectasia, hypertension, diabetes, hyperlipidemia, smoking.