COMPARISON OF CORONARY ARTERY DIAMETER AMONG PATIENTS WITH AND WITHOUT DIABETES MELLITUS

Authors

  • Muhammad Adil
  • Farid Ullah
  • Ibrahim Shah
  • Sher Bahadar Khan
  • Mohammad Faheem
  • Hikmatullah Jan
  • Mohammad Nadeem
  • Mohammad Hafizullah

DOI:

https://doi.org/10.47144/phj.v45i3.547

Keywords:

Diabetes mellitus, Coronary Arteries, Coronary Angiography, Quantitative Coronary Angiography.

Abstract

Objective: To compare the coronary arteries diameter between diabetic and nondiabetic
patients undergoing coronary angiography.
Methodology: This cross sectional comparative study was carried out in cardiac
catheterization laboratory, from January to June 2010. Patients were divided into
two groups; diabetics and nondiabetics. Coronary angiography was performed
and quantitative analysis of coronary segments was performed.
Results: A total of 278 patients, 139 in each group were included in the study.
Mean age±SD (years) in diabetic and nondiabetic groups was 52.8±7.531 V
52.9±6.79; P=0.91 respectively. Hypertension among diabetics and non
diabetics were66(47%)V 59(42.4%) P=0.39 respectively. Left main stem
coronary artery (LMS) in diabetics and non diabetics were 4 V 4.18 P=0.008
respectively. Proximal segments of left anterior descending (LAD) coronary
artery sizes in diabetics and non-diabetics were 2.99 V 3.1P =0.000 while mid
and distal segments were 2.95 V 3.14 P=0.000 and 1.95 V 2.42 P=0.000
respectively. Sizes of various segments of proximal left Circumflex (LCx)
coronary artery in diabetics and non-diabetics were 2.99 V 3.0 P=0.37 while
distal circ 1.85 V 2.29 P=0.000 respectively. Proximal segments of right
coronary artery in diabetic and nondiabetic group were 3.02±0.25mmV
3.18±0.25mm; P=0.000 while mid and distal segments were 2.99±0.26V
3.18±0.25; P=0.000 and 2.43±0.51V2.87±0.32; P=0.000 respectively.
Conclusion: In this study, coronary arteries in diabetic patients were found to be
narrower than in Non diabetic subjects. The right coronary artery , left main stem,
left anterior descending and distal circumflex arteries were more significantly
affected in diabetics and proximal circumflex was not significantly affected.

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How to Cite

1.
Adil M, Ullah F, Shah I, Khan SB, Faheem M, Jan H, Nadeem M, Hafizullah M. COMPARISON OF CORONARY ARTERY DIAMETER AMONG PATIENTS WITH AND WITHOUT DIABETES MELLITUS. Pak Heart J [Internet]. 2012Dec.19 [cited 2024Nov.24];45(3). Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/547

Issue

Vol. 45 No. 3 (2012): Pakistan Heart Journal

Section

Original Article

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