Evaluation of Coronary Angioplasty Results in Patients Referring to Isfahan Cardiac Centers, Iran, and Comparing with Clinical Guidelines

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Cardiology, Shahid Chamran Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Cardiology, Shahid Chamran Hospital, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 General Practitioner, Health Insurance Office, Isfahan, Iran

4 Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

5 Interventional Cardiologist, Shariati Hospital, Isfahan, Iran

6 General Practitioner, Health Insurance Office, Isfahan AND Student Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Coronary artery disease is the most important cause of death due to cardiovascular diseases and the main treatment is angioplasty. The purpose of this study was to evaluate the results of angioplasty in patients based on angiographic results, SYNTAX score, clinical conditions, cardiovascular risk factors and non-invasive tests. Additionally, the matching of angioplasty procedure with clinical guidelines was investigated.Methods: This was a cross-sectional study on 2297 patients referred to cardiac centers in Isfahan City (Chamran, Sina, Sepahan, Sa'adi, and Shahid Sadughi), Iran, for angioplasty during the second half of the year 2015. Demographic data, history of diabetes, hypertension, or hyperlipidemia, family history of heart disease, and current use of cigarettes were recorded. The extension of coronary artery disease was assessed using SYNTAX score.Findings: Among 2297 patients, 1577 (69.1%) were men and 706 (30.9%) were women. In 87% of patients, angioplasty was performed according to the guideline; and in 13% of them, open heart surgery or medical treatment was appropriate treatment instead of angioplasty. Significant correlation between the extent of coronary artery disease and the risk factors as age, diabetes, and hyperlipidemia was observed based on SYNTAX score system.Conclusion: In patients undergoing coronary angiography, SYNTAX score has an acceptable value in association with heart risk factors to demonstrate the generalizability of this association. A prospective cohort study can be used as a way to risk assessment for the patients and selection of appropriate diagnostic or medical strategy.

Keywords

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Journal of Isfahan Medical School
Volume 35, Issue 443 - Serial Number 443
July and August 2017
Pages 1044-1049

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History

  • Receive Date: 31 May 2017
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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