Role of coronary arteries in patients with Acute Coronary Syndrome

OBJECTIVE: To assess the role of coronary arteries in acute coronary syndrome patients who have survived sudden cardiac arrest. METHOD: A cross-sectional study was conducted in Department of Cardiology at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 1(st) May 2021 to 1(st) October 2021. A total of 203 patients who were diagnosed with sudden cardiac arrest were included as subjects of the study. Baseline data of all patients including age, sex, body mass index, history of smoking, diabetes and hypertension was noted. Coronary angiography was performed in all patients within five days after admission in hospital due to SCA. RESULTS: The average age of patients was 52.61±11.09 years. There were 140 (68.97%) male and 63 (31.03%) female patients. There were 131 (64.53%) patients with STEMI and 72 (35.47%) patients with Non-STEMI. LMCAD were diagnosed in 29 (14.29%) patients, RCA in 88 (43.35%) patients, LAD in 174 (85.71%) Patients and LCX in 41 (20.20%) patients. CONCLUSION: LAD has the most involvement among the coronary arteries (85.71%) in patients with sudden cardiac arrest.