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Published on: December 7, 2013
Coronary atherosclerosis -- a postmortem histopathological study
S Kumar1, Verma A Kumar, N Kumar
1Department of Forensic Medicine and Toxicology, B.R.D. Medical College, Gorakhpur (U.P.), India.
Insights
Coronary atherosclerosis, a common finding in autopsy studies, affects major coronary arteries. Indians show a higher prevalence, possibly linked to lifestyle changes and risk factors.
Area of Science:
- Cardiovascular Pathology
- Atherosclerosis Research
Background:
- Cardiovascular disease, particularly coronary heart disease, is a primary cause of death in developed nations.
- Understanding coronary atherosclerosis prevalence and characteristics is crucial for public health.
Purpose of the Study:
- To determine the prevalence, severity, and location of coronary atherosclerosis in postmortem hearts.
- To compare findings with existing literature and explore potential ethnic variations.
Main Methods:
- Autopsy examination of coronary arteries from 50 individuals aged 30-60 years.
- Gross and microscopic inspection of coronary arteries for pathological lesions.
Main Results:
- Coronary atherosclerosis was present in 80% of cases; 20% showed no lesions.
- The Left Anterior Descending artery had the highest lesion distribution (68%), followed by the Right Coronary Artery (50%) and Left Circumflex (36%).
- Proximal involvement was most common, except for distal involvement in the Right Coronary Artery.
Conclusions:
- The study confirms a significant prevalence of coronary atherosclerosis in the studied population.
- A higher prevalence in Indians suggests a potential link to lifestyle factors and risk factors.
- Findings align with other autopsy-based studies on coronary atherosclerosis.
Abstract:
Cardiovascular disease in general and coronary heart disease in particular remains the leading cause of morbidity and mortality in developed countries. The aim of this study was to look at the prevalence of coronary atherosclerosis, its severity and site of involvement in postmortem hearts. The hearts of 30-60 yrs old, fifty dead victims were considered who died from various natural and unnatural deaths. After autopsy, coronary arteries were inspected grossly and microscopically. Out of all these cases, 10 cases (20 %) showed no pathological lesions. Total distribution of lesions in the coronaries are as follows; 34 (68 %) atheromatous lesions in Left Anterior Descending Artery, 25 (50 %) lesions in the Right Coronary Artery, 18 (36 %) lesions in Left Circumflex. Proximal involvement was more common except in the right coronary artery, which was involved distally. The overall prevalence of coronary atherosclerosis in the present study was comparable with that noted by other investigators in autopsy studied. There is a higher prevalence of atherosclerosis in Indians, which may be due to changes in life-styles and other risks factors (Tab. 1, Ref. 14). Full Text in PDF www.elis.sk.
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