Left Main Stem Disease on Coronary Angiography in Patients with Unstable Angina Presenting to Emergency Department of Hayatabad Medical Complex Peshawar

Sami ullah; Najeeb Ullah; Inamullah; Arshad Ali; Muhammad Shahab Ud Din Khalil; Maria  Shehzad

doi:10.35787/jimdc.v13i2 (A).1167

Sami ullah Post Graduate Medical Institute Peshawar
Najeeb Ullah Post Graduate Medical Institute Peshawar
Inamullah Post Graduate Medical Institute Peshawar
Arshad Ali Medical Officer Health Department KP
Muhammad Shahab Ud Din Khalil Specialist registrar, Cardiology Unit, Hayatabad medical complex Peshawar
Maria Shehzad Department of Cardiolog, Physician Cardiologist/ Assistant Professor of Cardiology, Federal Government Polyclinic (PGMI) Islamabad

DOI: https://doi.org/10.35787/jimdc.v13i2%20(A).1167

Keywords: Left Main Stem Disease, UNSTABLE ANGINA, Coronary Angiography, Risk Factors, Revascularization

Abstract

ABSTRACT

Objective: This study aimed to establish the prevalence of left main stem (LMS) disease during coronary angiography among patients arriving at the emergency department of Hayatabad Medical Complex, Peshawar, with unstable angina.

Methodology: An observational study was carried out at the Cardiology Department, MTI-HMC Peshawar, spanning from December 2022 to January 2024. A total of 150 individuals diagnosed with unstable angina were enrolled. Coronary angiography was conducted on all participants, with an LMS disease diagnosis based on stenosis in the LMS artery exceeding half the left main coronary artery's diameter.

Results: The patient cohort comprised 70.0% males and 30.0% females, with an average age of 52.1 years (±6.5). Among them, 23.3% exhibited left main stem disease during coronary angiography. No significant links were identified between LMS disease and age group (p=0.24), gender (p=0.28), smoking habits (p=0.49), or diabetes (p=0.84).

Conclusion: The research points out the substantial occurrence of LMS disease in individuals with unstable angina, signalling the necessity of prompt revascularization in this subgroup. Nonetheless, no noteworthy correlations were discerned between LMS disease and the assessed clinical parameters and risk factors. These discoveries underscore the imperative for further investigations into additional factors influencing LMS disease progression in those with unstable angina for improved coronary artery disease screening and management strategies.