Abstract
Objective: To evaluate the CT coronary angiograms of patients presenting
with symptoms of coronary artery disease (CAD) as well as to compare the
results between the diabetics and non-diabetics.
Methodology: This descriptive cross-sectional study was carried out in
Cardiology department of Chaudhary Pervaiz Elahi Institute of Cardiology,
Multan. One hundred and fifty nine patients with history of symptoms of
CAD and no previous history of myocardial infarction or revascularization
were included in study. The conventional risk factors were noted and 64
slice multi detector CT coronary angiogram was done on all patients. Total
calcium score and number of segments with disease, obstructive disease
and non-obstructive disease were noted. Results were compared among
diabetic and non-diabetic patients.
Results: Mean age of the patients was 50.54±7.90 years. Out of 159
patients 118(74.2%) were males and 41 (25.8%) were females. Diabetic
patients were 101(63.5%), 64 (40.3%) were hypertensive, 39(24.5%) were
smokers, 24.5% (n=39) had positive family history, 18.2% (n=29) were
obese and 13.8% (n=22) had dyslipidemia. There was no coronary artery
disease in 40 (25.2%) patients while 91 (57.2%) patients had obstructive
and 28 (17.6%) patients had non-obstructive disease. 83. 1% diabetics
had obstructive CAD and 12.0% of non diabetic patients had obstructive
CAD. Mean number of obstructive segments in diabetic patients are
2.36±1.23.
Conclusion: CAD was more prevalent in diabetic patients and CAD is
easily predicted by non-invasive technique of CT coronary angiography
Muhammad Zubair Zaffar, Ammar Akhtar, Syed Naseem Iqbal Bukhari, Rashid Minhas. (2021) Coronary Artery Disease On Ct-coronary Angiogram – Comparison Between Diabetic And Non-diabetic Population, Pakistan Heart Journal, Volume-54, Issue-1.
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