Cheragh Hussain, Mahmood-ul Hassan, Bakhtawar Shah, Shahab Saidullah, Zahid Aslam Awan, Mohammad Naeem Malik.
Frequency of Left Main Coronary Artery Disease in Patient Presenting for Coronary Angiography to Cardiac Cath. Lab, Hayatabad Medical Complex Peshawar.
Ann Pak Inst Med Sci Jan ;13(1):79-82.

Background: Coronary artery diseases (CAD) are a major cause of morbidity and mortality. Patient who suffers from CAD left main stem disease is a big challenge in the world of coronary intervention. It not only increases morbidity but also increase mortality and also the economic burden on society. This study was conducted to determine the prevalence of significant left main coronary artery (LMCA) disease in patients undergoing coronary angiography in our patients. Objective: The aim of the present study is to determine the prevalence of LMCA disease in our local population. Study design: cross section study. Setting: Cardiology Department Hayat Abad Medical Complex Peshawar. Duration: May 2013 to May 2015 Methodology: A Cross Section study of 1200 consecutive patients undergoing cardiac catheterization from May 2013 to May 2015, at Hayat Abad Medical complex Peshawar in cardiology department, and information were collected prospectively regarding length of history of angina, clinical status before presentation and physical examination at admission. All available data so collected was analyzed on SPSS version 22 for frequency, mean and mode. Results: The incidence of left main disease was 10.5 % in our study. Mean age of patients was 54.98 years. Maximum numbers of patients were between 50 to 60 years of age. There were 756 (63.0%) males and 444 (37.0%) females. Hypertensive were 576(48.0%) and diabetes were 275(22.9%). Maximum number of patients were in in CCS grade II angina that is about 92(73.0%). Conclusion: The frequency on Left main coronary artery is quite high in our patients, which leads to increase morbidity and mortality in patients with CAD.

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