Comparison of clinical and  arteriographic profile of young and geriatric patients with ischemic heart disease in a tertiary care centre of Maharashtra

Shailaja V. Rao; M. S. Borkar (Sonavani); Vimlesh R. Pandey; Shradha Runwal

Volume : VI, Issue : IV, April - 2016

Comparison of clinical and arteriographic profile of young and geriatric patients with ischemic heart disease in a tertiary care centre of Maharashtra

Shailaja V. Rao, M. S. Borkar Sonavani , Vimlesh R. Pandey, Shradha Runwal

Abstract :

Objective: To analyse the clinical and coronary arteriographic pattern in patients with ischemic heart disease in geriatric patients (age > 60 yr) and to compare it with arteriographic pattern in young and middle aged (age < 60 yrs) ischemic heart disease patients Methods: This is hospital based cross–sectional study. We analysed coronary arteriographic profile of all the geriatric patients with ischemic heart disease who had undergone coronary angiography from Jan–2015 to Jan–2016 in detail and compared it with young and middle aged patients of ischemic heart disease undergoing coronary angiography during same period. Results: Total number of patients in group 1 (age < 60 yr) was 149 and in group 2 (age > 60yrs) was 111. Coronary angiography was found to be normal in 38/149(25.5%) patients in group 1 and 34/111(30.6%) patients in group 2. Single vessel disease (SVD) was most common form of involvement seen in 44/111 (39.6%) patients of group2 and 64/149 (42.9%) patients of group 1.In SVD left anterior descending coronary artery was the most common culprit artery in both the groups, 23/111 (20.7%)in group 2 and 49/149(32.8%) in group 1 (p=0.03), followed by right coronary artery involvement in 12/111(10.8%) in group 2 and 9/149(6%) in group 1 (p =NS). Double vessel disease affecting right coronary artery was the second most common form of involvement in both the groups, 21/111( 18.9% ) in group 2 and 30/149(20.13 %) in group 1.The incidence of triple vessel disease was 12/111(10.08%) in group 2 and 17/149(11.4%) in group 1. Left main coronary involvement and coronary ectasia were exclusively seen in group 1. Conclusion: Single vessel disease was most common form of involvement and LAD was most common culprit vessel. Left main coronary involvement and coronary ectasia were exclusively seen in age group less than 60 years.