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Diagnosis and risk stratification of coronary artery disease in Yemeni patients using treadmill test
Nouradden N Aljaber1, Shanei A Shanei2, Sultan Abdulwadoud Alshoabi3
1Department of Medicine, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen.
Insights
Coronary artery disease (CAD) affects more men than women, typically over 30. Exercise stress tests help stratify risk, with most affected patients falling into intermediate or low-risk categories.
Area of Science:
- Cardiology
- Preventive Medicine
- Diagnostic Testing
Background:
- Coronary artery disease (CAD) is a leading cause of death and disability.
- CAD presents as chronic stable angina or acute coronary syndromes (ACS), including unstable angina (UA), NSTEMI, and STEMI.
Purpose of the Study:
- To describe the risk stratification and prognosis of CAD in Yemeni patients.
- To analyze outcomes of exercise stress testing in a Yemeni population.
Main Methods:
- Retrospective descriptive study of 302 patients.
- Exercise stress testing conducted using the Bruce protocol on a treadmill (TMT).
Main Results:
- The study included 302 patients, with a mean age of 43.29 years (range 22-70); 79.80% were male.
- Of the patients, 86.75% had normal stress test results.
- Among affected patients (13.25%), 82.50% were male, all over 30 years old, predominantly over 50. 45% of positive tests were high-risk, while 55% were intermediate/low-risk.
Conclusions:
- CAD impacts males more frequently than females.
- The condition affects individuals over 30, with a higher prevalence in older patients.
- Most diagnosed CAD patients were categorized into high, intermediate, and low-risk groups, with rare occurrences in the very high-risk category.
Background:
Coronary artery disease (CAD) is a common medical problem that remains a great cause of morbidity and mortality. Based on clinical manifestation, CAD span from chronic stable angina to acute coronary syndrome (ACS), which encompasses (1) unstable angina (UA), (2) non-ST-elevation myocardial infarction (NSTEMI), and (3) ST-elevation myocardial infarction (STEMI).
Objective:
This study was conducted to describe the risk stratification and prognosis of CAD in Yemeni patients undergoing an exercise stress test.
Method:
A retrospective descriptive study involved the records of 302 patients who undergoing exercise stress testing by the Bruce protocol of Treadmill (TMT).
Results:
Out of 302 patients, the mean age was 43.29 years, (range, 22-70 years), and 79.80% were males. The majority of patients (86.75%) were normal. Most of the affected patients (82.50%) were males. All of the affected peoples were more than 30 years old with predominance in more than 50 years old. Results showed that 45% of the positive (+ve) patients were in high-risk group, and 55% were in intermediate and low-risk groups.
Conclusions:
CAD affects males more than females. It affects patients older than 30 years and predominates in elderly patients. Most of the affected patients were in the high, intermediate, and low-risk groups and rarely were in the very high-risk group.
Related Concept Videos
01:26Exercise Stress Test
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
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