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Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India
OBJECTIVE: To identify the prevalence of coronary artery anomalies (CAAs) and their subtypes based on Angelini et al. classification in symptomatic yet stable population of South India using 64- slice dual source multi detector CT coronary angiography (MDCT-CA). METHODS: We retrospectively reviewed...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306341/ https://www.ncbi.nlm.nih.gov/pubmed/30580856 http://dx.doi.org/10.1016/j.ihj.2018.01.035 |
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author | Sirasapalli, Chinnam Naidu Christopher, Johann Ravilla, Vishnu |
author_facet | Sirasapalli, Chinnam Naidu Christopher, Johann Ravilla, Vishnu |
author_sort | Sirasapalli, Chinnam Naidu |
collection | PubMed |
description | OBJECTIVE: To identify the prevalence of coronary artery anomalies (CAAs) and their subtypes based on Angelini et al. classification in symptomatic yet stable population of South India using 64- slice dual source multi detector CT coronary angiography (MDCT-CA). METHODS: We retrospectively reviewed reports of 8021 symptomatic patients predominantly South Indians who were referred for CT coronary angiography (CT-CA) to our tertiary cardiac care center in Hyderabad, India from January 2011 to March 2017. RESULTS: We identified a total of 838 coronary artery anomalies in 812 patients with a prevalence of 10.09%. 96.9% of patients were older than 30 years of age with a M:F ratio of 1.39:1. Coronary artery disease (CAD) was seen in 61.5% of these patients. Among these anomalies, myocardial bridging (MB) was the most common anomaly followed by anomalous location of coronary ostium at improper sinus (ACOIS). CONCLUSION: There is no significant difference in prevalence of CAAs (including and excluding MB) in Indian and World population. CAAs were more common in males than females and most of these patients remain asymptomatic during first three decades of their life. Myocardial bridging is the most common anomaly detected by MDCT-CA followed by ACOIS. Right coronary artery (RCA) arising from left coronary sinus (LCS) is the most commonly encountered ACOIS. |
format | Online Article Text |
id | pubmed-6306341 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-63063412019-11-01 Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India Sirasapalli, Chinnam Naidu Christopher, Johann Ravilla, Vishnu Indian Heart J Interventional Cardiology OBJECTIVE: To identify the prevalence of coronary artery anomalies (CAAs) and their subtypes based on Angelini et al. classification in symptomatic yet stable population of South India using 64- slice dual source multi detector CT coronary angiography (MDCT-CA). METHODS: We retrospectively reviewed reports of 8021 symptomatic patients predominantly South Indians who were referred for CT coronary angiography (CT-CA) to our tertiary cardiac care center in Hyderabad, India from January 2011 to March 2017. RESULTS: We identified a total of 838 coronary artery anomalies in 812 patients with a prevalence of 10.09%. 96.9% of patients were older than 30 years of age with a M:F ratio of 1.39:1. Coronary artery disease (CAD) was seen in 61.5% of these patients. Among these anomalies, myocardial bridging (MB) was the most common anomaly followed by anomalous location of coronary ostium at improper sinus (ACOIS). CONCLUSION: There is no significant difference in prevalence of CAAs (including and excluding MB) in Indian and World population. CAAs were more common in males than females and most of these patients remain asymptomatic during first three decades of their life. Myocardial bridging is the most common anomaly detected by MDCT-CA followed by ACOIS. Right coronary artery (RCA) arising from left coronary sinus (LCS) is the most commonly encountered ACOIS. Elsevier 2018 2018-01-31 /pmc/articles/PMC6306341/ /pubmed/30580856 http://dx.doi.org/10.1016/j.ihj.2018.01.035 Text en © 2018 Published by Elsevier B.V. on behalf of Cardiological Society of India. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Interventional Cardiology Sirasapalli, Chinnam Naidu Christopher, Johann Ravilla, Vishnu Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title | Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title_full | Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title_fullStr | Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title_full_unstemmed | Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title_short | Prevalence and spectrum of coronary artery anomalies in 8021 patients: A single center study in South India |
title_sort | prevalence and spectrum of coronary artery anomalies in 8021 patients: a single center study in south india |
topic | Interventional Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306341/ https://www.ncbi.nlm.nih.gov/pubmed/30580856 http://dx.doi.org/10.1016/j.ihj.2018.01.035 |
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