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1 1 * (MD) : vani.cardia61@gmail.com: 95/07/11 : 95/03/19: 95/01/15: :.. : :. (19) SPSS ( %12/7) 216 (CAE) (RCA). ( ) 61/34 ±9/44. (%54/6). %20/4 %26/9 %50/9. % 51/9 (LAD) %56/9 (LCX) %56/9 %0/4) 7. (%73/6) (%81/5). :. (. : / / : : (3).. -.(4)...(5 2).(5) Coronary Artery Ectasia(CAE)... 4 Markis.(2) 1 :
2 .... SPSS19. 0/ (%66/5) (%33/5 ) 571 (%12/7) (CAE) (%45/4) 98 (%54/6) /34±9/44 CAE. 65 (%67) 145. CAE (%56/9) 123 (RCA) (%56/9) 123 (LCX). (%51/9) 112 (LAD) 110. (%8/8) 19 (LM) 44 (%26/9) 58 (%50/9) 4 (%1/9) 4 (%20/4). %19) 41 LAD RCA LCX 31 LAD LCX (CAE. (CAE %14/4) 123 (%21/8) 47. (%56/9) 28 2 (%22/3) (%12/9) (%81/5) 176. (%29/6) 64 (%73/6) (%28/7) 62 (%8/3) RCA. %2/ Sultana.(4) ) 140 Almansori.(6) (%2/8) ( 1115.(7) ( 67) % Cheng LAM.(8) ( 36) %0/6 CAE.(9) %1/2 CAE CAE %12 Sharma 119 Zografos.(10).(11) 3764 Pinar Bermúdez.(12) %3/39.. ( ) (6) 1/5. : 1396 /101 / / 31
3 .(4) 56/97 ±10/86 %82 Sultana.(7) Almansori 56± /1±10/3 65 ( 89)%64. Zografos.(6) 3 CAE 2 ( %8/6). (%2/4) 55/7±9/9 CAE 58/6±12/2.(11). CAE CAE.. (%56/9) 123 CAE 78 (%34) 229 CAE Zografos CAE (4) %50 CAE Sultana.(11) (%74) ( 60)%42/8 10 Cheng Z.(6) (%28/7) 36 Almansori.(8) CAE %66.(7) CAE CAE.. RCA CAE LM %56/9 LCX. (1) LAD (2) LCX (4) (%71/4) 5 (%28/5) 2 (%57/1) 4. (%28/5) 2.(P =0/02) LAD (P =0/002) ( )%12/7 CAE.. CAE Sharma CAE (8 6).. (%54/6) 118 (%67). 61/34±9/ ( )%2/7 CAE ( )%1/4. CAE ( 2) %50 (%34/1) 151. (%74/8) /101 / /
4 ....(7) %59 (%26) 36 (%55) 77 Sultana.(6) (%42) 58..(4) %32 %8 CAE..(9) CAE. CAE %8/3 Zografos.(4) ( 29) %19/5 ( ) %15/1.(11) %28/7...(4) ( 54 ) %35/8 %31 Almansori Zografos ( )%46/2.(7).(11).. CAE.(4) CAE %8/8 %20/4 %26/9 LAD.. 93 RCA LCX (%60/6) 92 LAD (%61/6) (%9/9) 15 LM. (%36/4) 55 (%44/4) 67. (%7) 11.(4) RCA Almansori.(7) %8 LM %73 Cheng (%56) LCX (%65) LAD (%75) RCA.(8) LM (%88) RCA Sultana.(6) (%15) LAD (%35) LCX RCA Zografos (%49/5) 59 LAD (%67/2) 80 RCA.(11) LAD LAD.(11 6 4) %73/6 %81/5 %29/6. ( 67) %44/7 ( 102) %68/9.(4) ( 29) %19/6 %64 %59 Almansori 1396 /101 / / 33
5 1. Win HK, Polsani V, Chang SM, Kleiman NS. Stentassisted coil embolization of a large fusiform aneurysm of proximal anterior descending artery: novel treatment for coronary aneurysms. Circ Cardiovasc Interv 2012;5(1):e Yang EH, Kapoor N, Gheissari A, Burstein S. Coronary and intracerebral arterial aneurysms in a young adult with acute coronary syndrome. Tex Heart Inst J 2012; 39(3): Markis JE, Joffe CD, Cohen PF, Feen DJ, Hermann MV, Gorlin R. Clinical significance of coronary arterial ectasia. Am J Cardiol 1976; 37: Amirzadegan AR, Davoodi G, Soleimani A, Lotfi Tokaldany M, Hakki Kazazi E, Shabpiray H, et al. Association between Traditional Risk Factors and Coronary Artery Ectasia: A Study on Angiographic Procedures among Iranian Population. Journal of Tehran University Heart Center 2014;9 (1): Berdajs D, Ruchat P, Suva M, Ferrari E, Ligang L, von Segesser LK. Congenital giant aneurysm of the left coronary artery. Heart Lung Circ 2011;20(10): Sultana R, Sultana N, Ishaq M, Samad A. The prevalence and clinical profile of angiographiccoronary ectasia. J Pak Med Assoc 2011;61(4): Almansori MA, Elsayed HA. Coronary artery ectasia - A sample from Saudi Arabia. J Saudi Heart Assoc Jul;27(3): Cheng Z, Liu Y, Zhang S, Wu W, Shen Z, Fan Z, et al. Clinical characteristics and coronary features of coronary ectasia and aneurysm in China. World Journal of Cardiovascular Diseases. 2013; 3: Lam CSP, Ho KT. Coronary artery ectasia: A tenyear experience in a tertiary hospital in Singapore. Ann Acad Med Singapore 2004;33: Sharma SN, Kaul U, Sharma S, Wasir HS, Manchanda SC, Bahl VK, Talwar KK, Rajani M, Bhatia ML. Coronary arteriographic profile in young and old Indian patients with ischemic heart disease: a comparative study. Indian Heart J 1990;42: Zografos TA, Korovesis S, Giazitzoglou E, Kokladi M, Venetsanakos I, Paxinos G, Fragakis N, Katritsis DG. Clinical and angiographic characteristics of patients with coronary artery ectasia. Int J Cardiol Aug 20;167(4): Pinar Bermúdez E, López Palop R, Lozano Martínez-Luengas I, Cortés Sánchez R, Carrillo Sáez P, Rodríguez Carreras R, Picó Aracil F, Valdés Chávarri M. Coronary ectasia: prevalence, and clinical and angiographic characteristics. Rev Esp Cardiol 2003;56: /101 / /
6 ... Evaluation of Coronary Ectasia at Patient Admitted for Coronary Angiography Nikseresht V (MD) 1 *Corresponding Address: Heart Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran vani.cardia61@gmail.com Received: 03/Apr/2016 Revised: 08/Jun/2016 Accepted: 02/Oct/2016 Abstract Introduction: Coronary artery aneurysms (CAAs) and Ectasia (CAE) are diseases that have been increasingly noticed as the increase in utilization of coronary angiograms. Objective: The aim of this study is to determine the prevalence of coronary artery aneurysms and ectasia and describe the patients admitted to a private clinic in 2012 to Materials and Methods: This is a retrospective cross-sectional study involved all patient with invasive coronary angiogram that was performed at Dr.Heshmat and Golsar hospital in Rasht from may 2012 to may All data included cardiovascular disease major rick factors, demographic and angiographic characteristics were recorded in check list. Statistical analyses were performed by using SPSS version 19. Results: A total of 1705 coronary angiography were performed during the period of the study. CAE was found in 216 patients (12.7 % of all coronary angiograms). The majority (54.6%) were male. The mean age was 61.34±9.44 years (range, 30 to 83 years). CAE was associated with significant coronary artery stenosis in 123 patients (56.9%).The frequency of arterial involvement was: the right coronary artery (RCA) 56.9 %; left circumflex artery (LCx), 56.9%; the left anterior descending artery (LAD), 51.9 %.Coronary ectasia involved a single vessel in 50.9 %, two vessels in26.9 %, and three vessels in 20.4 %. Hyperlipidemia (81.5%) and hypertension (73.6%) were also most comorbidty in these patients. Coronary artery aneurysm was found in 7 patients (0.4% of all coronary angiograms). Conclusion: The prevalence of coronary artery ectasia in this study among patient who went for coronary angiography is higher than what has been published in others studies. Conflict of interest: none declared Key words: Angiography\ Coronary Aneurysm \ Dilatation Pathologic Journal of Guilan University of Medical Sciences, No: 101, Pages: Please cite this article as: Nikseresht V. Evaluation of Coronary Ectasia at Patient admitted for Coronary Angiography. J of Guilan Univ of Med Sci 2017; 26(101): [Text in Persian] 1 Heart Research Center, school of Medicine, Guilan 1396 University /101 of medical / Sciences, / Rasht, Iran 35
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