- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Evaluating coronary artery disease in type 2 diabetes mellitus and Other Risk Factors by angiographic study | ||
| Journal of the Faculty of Medicine | ||
| Article 1, Volume 53, Issue 1, 2011, Pages 15-19 | ||
| Author | ||
| Salim M. AL-rubae | ||
| Abstract | ||
| Background: Diabetes mellitus (DM) is a metabolic and vascular illness associated with two to four times coronary artery disease (CAD) events and mortality which correlate well with fasting, postprandial plasma glucose and HbA1c level. Other factors such as aging, gender, smoking, dyslipidaemia and hypertension also play an important role in diabetic micro- and macro-vascular complications. Type 2 DM is reported now to be CAD equivalent. Patients and Methods: A cross sectional study of 118 patients including 90 males and 28 females being 63 diabetics and 55 non-diabetics over the period from March-November 2007 in Iraqi center for cardiac diseases who were underwent coronary angiographic study. Results: By angiographic study CAD was present in 92.1% of diabetic versus 89.1% in non diabetic patients. Single, double and triple vessels diseases were found in 15.9%, 22.2%, and42.9% of diabetics versus 16.4%, 21.8%, 34.5% in non diabetics respectively. DM and dyslipidaemias were proved to be independent risk factors for left circumflex artery (LCX) disease predilection (p value <0.05). Conclusion: Type 2 DM and female gender were reported to be independent risk factors for LCX and left main stem coronary arteries respectively while age, smoking, and dyslipidaemia were independent risk factors for coronary atherosclerotic . Hypertension and family history were proven to be dependent atherosclerotic risk factors and this may suggest that risk factors for the presence of CAD may differ from those affecting angiographic extent and severity. CAD was more extensive and severe in post menopausal women in this study. Keywords: Coronary artery disease, Type 2 Diabetes mellitus, risk factors, angiographic study. | ||
| Keywords | ||
| coronary artery disease; Type; risk factors; angiographic study | ||
|
Statistics Article View: 97 PDF Download: 73 |
||