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Coronary artery ectasia - A sample from Saudi Arabia
Mohammed Atiq Almansori1, Hisham Ali Elsayed1
1Department of Medicine, Division of Cardiology, University of Dammam, Saudi Arabia.
Journal of the Saudi Heart Association
|July 3, 2015
Summary
Coronary artery ectasia, a rare condition, was found in 6% of Saudi Arabian patients undergoing coronary angiography. A significant number of these cases exhibited severe disease, indicating a higher prevalence than previously reported.
Area of Science:
- Cardiology
- Vascular Medicine
- Medical Imaging
Background:
- Coronary artery ectasia (CAE) is an uncommon cardiovascular condition.
- Increased utilization of coronary angiography has led to more frequent detection of CAE.
- Characterizing CAE in specific populations is crucial for understanding its prevalence and severity.
Purpose of the Study:
- To determine the prevalence and characteristics of coronary artery ectasia in the Saudi Arabian population.
- To assess the severity of ectasia in diagnosed cases.
- To compare findings with previously published international data.
Main Methods:
- Retrospective analysis of invasive coronary angiograms.
- Study period: January 2011 to December 2013.
- Inclusion criteria: All patients undergoing coronary angiography at a tertiary hospital in Saudi Arabia.
Main Results:
- A total of 1115 coronary angiograms were reviewed.
- Coronary artery ectasia was identified in 67 patients, representing a 6% prevalence.
- The right coronary artery was the most commonly affected vessel (73%), with 43% of cases showing severe ectasia.
Conclusions:
- The prevalence of coronary artery ectasia in Saudi Arabia appears higher than previously reported global estimates.
- A substantial proportion of patients with CAE in this cohort presented with severe disease.
- Further research is warranted to understand the implications of this higher prevalence and severity.
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