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Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran

BACKGROUND: Coronary artery disease (CAD) is one of the most progressive and life-threatening diseases and is the first leading cause of death affecting both genders in Iran. The present study aimed to determine the extent of coronary vessel involvement and relevant relationship with several underly...

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Autores principales: Kazemian, Fahimeh, Jalali, Seyed Farzad, Hajian-Tilaki, Karimollah, Arzani, Afsaneh, Amin, Kamyar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230462/
https://www.ncbi.nlm.nih.gov/pubmed/30510651
http://dx.doi.org/10.22088/cjim.9.4.361
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author Kazemian, Fahimeh
Jalali, Seyed Farzad
Hajian-Tilaki, Karimollah
Arzani, Afsaneh
Amin, Kamyar
author_facet Kazemian, Fahimeh
Jalali, Seyed Farzad
Hajian-Tilaki, Karimollah
Arzani, Afsaneh
Amin, Kamyar
author_sort Kazemian, Fahimeh
collection PubMed
description BACKGROUND: Coronary artery disease (CAD) is one of the most progressive and life-threatening diseases and is the first leading cause of death affecting both genders in Iran. The present study aimed to determine the extent of coronary vessel involvement and relevant relationship with several underlying risk factors. METHODS: In this cross-sectional study, 1452 patients undergoing angiography who met the inclusion criteria were recruited consecutively in Babol, Iran during 2016. Data collection was performed through a questionnaire including demographic and clinical characteristics and information on underlying diseases via an interview with the patient and looking into the patients’ records. RESULTS: Of these patients, 459 (31.6%) had normal coronary arteries, 220 (15.1%) suffered from non-obstructive CAD and 773 (53.3%) had one, two or three-vessel obstructive involvement. The results of multiple logistic regression showed that the chances of having coronary artery involvement in patients with diabetes (OR=1.55, p=0.012), age> 60 years old (OR=3.52, P=0.001), male gender (OR=2.54, P=0.001), history of heart attack (OR=3.16, P=0.001), and history of hospitalization because of cardiac problem (OR=1.51, P=0.021) significantly increased. CONCLUSIONS: Diabetes, male gender, age over 60 years old, history of myocardial infarction and history of hospitalization due to cardiac problem were related to the extent of coronary vessels involvement. Therefore, it is recommended to practice preventive measures more extensively in this regard.
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spelling pubmed-62304622018-12-03 Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran Kazemian, Fahimeh Jalali, Seyed Farzad Hajian-Tilaki, Karimollah Arzani, Afsaneh Amin, Kamyar Caspian J Intern Med Original Article BACKGROUND: Coronary artery disease (CAD) is one of the most progressive and life-threatening diseases and is the first leading cause of death affecting both genders in Iran. The present study aimed to determine the extent of coronary vessel involvement and relevant relationship with several underlying risk factors. METHODS: In this cross-sectional study, 1452 patients undergoing angiography who met the inclusion criteria were recruited consecutively in Babol, Iran during 2016. Data collection was performed through a questionnaire including demographic and clinical characteristics and information on underlying diseases via an interview with the patient and looking into the patients’ records. RESULTS: Of these patients, 459 (31.6%) had normal coronary arteries, 220 (15.1%) suffered from non-obstructive CAD and 773 (53.3%) had one, two or three-vessel obstructive involvement. The results of multiple logistic regression showed that the chances of having coronary artery involvement in patients with diabetes (OR=1.55, p=0.012), age> 60 years old (OR=3.52, P=0.001), male gender (OR=2.54, P=0.001), history of heart attack (OR=3.16, P=0.001), and history of hospitalization because of cardiac problem (OR=1.51, P=0.021) significantly increased. CONCLUSIONS: Diabetes, male gender, age over 60 years old, history of myocardial infarction and history of hospitalization due to cardiac problem were related to the extent of coronary vessels involvement. Therefore, it is recommended to practice preventive measures more extensively in this regard. Babol University of Medical Sciences 2018 /pmc/articles/PMC6230462/ /pubmed/30510651 http://dx.doi.org/10.22088/cjim.9.4.361 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kazemian, Fahimeh
Jalali, Seyed Farzad
Hajian-Tilaki, Karimollah
Arzani, Afsaneh
Amin, Kamyar
Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title_full Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title_fullStr Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title_full_unstemmed Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title_short Underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in North of Iran
title_sort underlying risk factors and their relationship with extent of coronary vessel involvement in patients undergoing coronary angiography in north of iran
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230462/
https://www.ncbi.nlm.nih.gov/pubmed/30510651
http://dx.doi.org/10.22088/cjim.9.4.361
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