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Angiographic Characteristic of Yemeni Patients Undergoing Diagnostic Coronary Angiography in Younger and Older 40 Years Old: A Comperative Study

المصدر: مجلة بحوث جامعة تعز - سلسلة الآداب والعلوم الإنسانية والتطبيقية
الناشر: جامعة تعز
المؤلف الرئيسي: Alhkmy, Adeeb Mohammed Esmaeel (Author)
مؤلفين آخرين: Alhamadi, Abduh Mohammed (Co-Author) , Alkholidy, Mansour (Co-Author)
المجلد/العدد: ع39
محكمة: نعم
الدولة: اليمن
التاريخ الميلادي: 2024
الشهر: مارس
الصفحات: 258 - 293
رقم MD: 1495333
نوع المحتوى: بحوث ومقالات
اللغة: الإنجليزية
قواعد المعلومات: EduSearch, AraBase, HumanIndex
مواضيع:
كلمات المؤلف المفتاحية:
Coronary Artery Disease (CAD) | Risk Factors | Ischemic Heart Disease | Angiographic Characteristics | Age-Related Differences Are the Key Focal Points of the Study
رابط المحتوى:
صورة الغلاف QR قانون
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المستخلص: Background: Coronary artery disease (CAD) poses a significant global health threat, leading to high mortality rates in both developed and developing nations. This inflammatory atherosclerotic disease manifests as stable angina, unstable angina, myocardial infarction (MI), or sudden cardiac death. Coronary angiography is crucial for diagnosing and assessing the severity of CAD. Aim of the Work: This study aimed to investigate the risk factors and angiographic characteristics of CAD in young and older patients presenting with ischemic heart disease. It also sought to identify age-related differences in symptom presentation, electrocardiogram (ECG) patterns, echocardiographic findings, laboratory parameters, vital signs, and self-reported data. Patients and Methods: The study included two patient groups: those below 40 years and those above 40 years. A comprehensive analysis encompassed clinical, ECG, echocardiographic, laboratory, vital signs, and self-reported data. Diagnostic catheterization results were scrutinized to understand disease prevalence and patterns across different age groups. Results: Younger patients exhibited a higher occurrence of chest pain, challenging conventional perceptions. Although symptom duration before angiography was similar in both groups, variations in ECG findings suggested age-related cardiac changes. While echocardiographic regional hypokinesia did not significantly differ, laboratory parameters showed distinct age-related trends, including lower random blood sugar in younger patients and elevated C-reactive protein and creatinine in older patients. Vital signs demonstrated age-related patterns, with higher systolic blood pressure in older individuals. Conclusion: This study underscores the complexity of CAD presentation across ages, emphasizing the need for nuanced diagnostic approaches. While older patients may have normal catheterization results more frequently, specific coronary arteries exhibit a higher disease prevalence in this group. Age-related variations in symptoms, ECG, echocardiography, laboratory parameters, vital signs, and self-reported data highlight the multifaceted nature of CAD, necessitating age-specific considerations in clinical evaluation and management.