Mohammad Ameen M, Rashad Hindreen H, Habeeb Qayser S, Rashad Brisik H, Saeed Saad Y
Department of Medicine, College of Medicine, University of Duhok Iraq.
Azadi Teaching Hospital Duhok, Iraq.
Am J Cardiovasc Dis. 2021 Feb 15;11(1):39-45. eCollection 2021.
The characters of coronary artery disease with its risk factors and coronary angiograms studied elsewhere revealed differences in different populations. We, here, assess the regional characters of coronary artery disease with its major risk factors and coronary angiographic profile in Duhok, Kurdistan region of Iraq.
We conducted this cross sectional study at the Azadi heart center in Duhok, Iraq. A consecutive sampling procedure was used to enroll a total of 300 adult patients with coronary artery disease (145 men and 155 women) who had undergone coronary angiography. Direct interview was used with designed questionnaire to collect demographic, cardiovascular risk factors and angiographic profiles.
The mean patient's age was 55.5 (10.4) years. The most prevalent risk factor was hypertension (55.3%), followed by dyslipidemia (42.7%), type 2 diabetes mellitus (29%), smoking (11%) and ex-smoking (9.3%). Apart from smoking all other risk factors were more frequent in women. Angiographic analysis revealed normal angiograms in (29.3%) versus single vessel disease (23.3%), double vessel disease (14.3%), triple vessel disease (21.3%) and non significant (11.7%). As to the coronary branch involved, the most frequently affected was the left anterior descending artery followed by right coronary artery, left circumflex artery, and left main stem (60.7%, 46.3%, 43.7% and 6% respectively).
This study showed that the coronary artery disease tends to occur earlier in our population. Although cardiovascular risk factors were clustered among women, older men showed more aggressive coronary angiographic lesions.
在其他地方研究的冠心病特征及其危险因素和冠状动脉造影显示不同人群存在差异。我们在此评估伊拉克库尔德地区杜胡克冠心病的区域特征及其主要危险因素和冠状动脉造影特征。
我们在伊拉克杜胡克的阿扎迪心脏中心进行了这项横断面研究。采用连续抽样程序，纳入总共300例接受冠状动脉造影的成年冠心病患者（145名男性和155名女性）。通过设计好的问卷进行直接访谈，以收集人口统计学、心血管危险因素和造影特征。
患者的平均年龄为55.5（10.4）岁。最常见的危险因素是高血压（55.3%），其次是血脂异常（42.7%）、2型糖尿病（29%）、吸烟（11%）和既往吸烟（9.3%）。除吸烟外，所有其他危险因素在女性中更为常见。造影分析显示正常造影的占（29.3%），单支血管病变占（23.3%）、双支血管病变占（14.3%）、三支血管病变占（21.3%）以及无显著病变占（11.7%）。至于受累的冠状动脉分支，最常受累的是左前降支动脉，其次是右冠状动脉、左旋支动脉和左主干（分别为60.7%、46.3%、43.7%和6%）。
本研究表明冠心病在我们的人群中倾向于更早发生。尽管心血管危险因素在女性中聚集，但老年男性显示出更严重的冠状动脉造影病变。
