PATTERN OF ANGIOGRAPHIC FINDINGS IN PATIENTS WITH STABLE ANGINA HAVING HIGH RISK DUKE SCORE ON EXERCISE TESTING

Abstract

Objectives: The objective of this study was to show coronary angioghraphicpattern in patients having high duke treadmill.th Methodology: This cross sectional study was conducted between 28 Marchth 2015 to 27 Sepetember 2015 at Cardiology Department of Chaudhary PervaizElahi Institute of Cardiology, Multan. Patients with stable angina having highDuke's score that is less than 11, between 35-60 years of age of both genderswere selected. Patients with history of myocardial infarction, unstable angina,heart failure and pregnancy were excluded. After this coronary angiography wasconducted in all these patients. Findings were noted as no stenosis, single vesseldisease, double vessel disease, triple vessel disease and left main stem disease. Results: Mean age of patients was 52.42 ± 4.78 years. Out of total 220 patients,126 (57.27) were females ,with female to male ratio of 1.3:1. Triple vesseldisease was most common angiographic finding and was seen in 82 (37.27%)patients followed by left main stem disease in 73 (33.18%) patients. Doublevessel disease, single vessel disease and no stenosis in 39 (17.73),18 (8.18%)and 08 (3.64%) patients respectively. Conclusion: This study concluded that severity of angiographic patternscorrelate significantly with high risk Duke's trade mill score on exercise testing inpatients with stable angina. Key Words: Duke score, Exercise testing, Triple vessel disease , Left main stem ,Angiographic patterns.