INTRODUCTION

Coronary artery disease (CAD) is one of the leading causes of death globally. Studies have shown association of CAD and its risk factors; however, data on association of these risk factors and severity of CAD as seen in angiography in our local setting are still limited.

OBJECTIVE

The aims of this study were to determine the clinical and angiographic profile of patients who underwent coronary angiography, to correlate cardiovascular risk factors to their angiographic findings, and to compare the trend of risk factors and angiography findings between decades.

METHODS

This is a retrospective observational study of patients aged 18 years or older, of either sex, who underwent coronary angiography at a tertiary hospital from 2001 to 2019. Pertinent risk factors were correlated with angiography findings to determine predictors for significant CAD.

RESULTS

The mean age of the patients was 58.6 years. There were more males (66%) than females. The risk factors for the likelihood of significant CAD are older age (4.98% more for every year increase in age), male sex (2.63 times), and diabetes mellitus (47.64%). The majority of the patients had right dominant circulation, and significant lesions were more commonly seen in the left anterior descending artery. There were statistically significant more patients with hypertension, diabetes, and obesity in the present decade compared with the past.

CONCLUSION

Increased age, male sex, and diabetes are associated with significant CAD in the local setting. Diabetes must be aggressively controlled early to prevent the development of significant CAD.

Coronary Artery Disease ; Risk Factors ; Coronary Angiography

Introduction: The rapidly growing number of percutaneous coronary interventions has led to a considerable improvement in the outcome of patients with acute coronary syndromes, yet concurrently exposing patients to enormous volumes of contrast media with the inherent risk of renal function impairment. Objective: To determine the incidence of contrast induced nephropathy of patients admitted at University of Santo Tomas Hospital (USTH) who underwent coronary angiography with or without Percutaneous Transluminal Coronary Angioplasty (PTCA). Methodology: This is a retrospective, descriptive study including patients aged 18 years and above, of any gender, admitted at the USTH from January 1, 2016 to December 31, 2016, who underwent coronary angiography with or without PTCA with baseline and follow up creatinine levels 48-72 hours after the procedure. Data were retrieved by review of medical records of these patients. Results: Three out of 78 patients (3.8%) had elevated creatinine but all three patients also underwent major surgery within 48 hours after coronary angiography which could explain the renal impairment. Conclusion Although contrast induced nephropathy was described as the third most common cause of new Acute Kidney Injury in hospitalized patients, it was accordingly nil among those who underwent coronary angiography at USTH from January to December 2016. Benefi ts and risks of undergoing coronary angiography should always be weighed individually. Risk stratifi cation scores should only serve as a guide in managing patients and proper preventive measures should be applied.
Coronary Angiography ; ErbB Receptors

This clinical pathway for the diagnosis and risk stratification of patients presenting with acute chest pain, including acute coronary syndromes, provides recommendations and algorithms for clinicians to diagnose, risk stratify, and manage acute chest pain in adult patients. The writing committee reviewed existing international and local guidelines. Modifications to the algorithm following face-to-face and virtual meetings resulted in expert decisions written as recommendations and presented in a flow diagram format. The USTH Chest Pain Pathway provides guidance based on current guidelines and recommendations on assessing and evaluating acute chest pain, tailored to local needs and institution-specific facilities. We recommend its use to ensure quality patient care in the hospital.
Acute Coronary Syndrome|critical Pathways