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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
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Pattern of coronary arterial lesions amongst Saudi Arabians: a cross-sectional coronary fluoroscopic angiography

Khalid Hadi Aldosari1, Khalid Mansour Alkhathlan1, Sameer Al-Ghamdi2

  • 1Prince Sattam Bin Abdulaziz University, Colleges of Medicine, Al-Kharj, Saudi Arabia.

The Pan African Medical Journal
|August 11, 2020
PubMed

Insights

Coronary artery lesions in Saudi Arabia show a distinct pattern, with the left circumflex artery most frequently affected. This study highlights unique characteristics of coronary artery disease (CAD) in the Saudi population.

Area of Science:

  • Cardiology
  • Epidemiology
  • Public Health

Background:

  • Coronary artery disease (CAD) is a significant global cardiovascular disease (CVD).
  • Understanding CAD patterns is crucial for targeted healthcare strategies.
  • This study focuses on coronary arterial lesions (CAL) in the Kingdom of Saudi Arabia (KSA).

Purpose of the Study:

  • To determine the characteristics of coronary arterial lesions (CAL) in Saudi Arabia.
  • To analyze CAL patterns based on age, gender, affected coronary artery, lesion number, and dominance.
  • To compare CAL patterns in KSA with international data.

Main Methods:

  • A cross-sectional study was conducted from January 2017 to March 2018.
  • Data from 262 patients with CAD lesions were collected at King Khalid Hospital and Prince Sultan Centre for Health Care.
  • Demographic data and lesion details were analyzed using SPSS, with p ≤ 0.05 considered significant.

Main Results:

  • The study included 74.8% males and 25.2% females, with 72% over 50 years old.
  • Prevalence of smoking, diabetes, hypertension, and hyperlipidemia were 53%, 63%, 53.7%, and 25%, respectively.
  • The left circumflex artery had the highest lesion incidence (85.3%), followed by the left anterior descending (82.4%) and right circumflex (74.3%). Most patients (59.6%) had three lesions.

Conclusions:

  • The pattern of coronary arterial lesions (CAL) in the Saudi population differs from that observed in other countries.
  • This suggests a need for region-specific approaches to CAD management.
  • Further research is warranted to elucidate the unique epidemiological profile of CAD in KSA.
Abstract

Keywords:
Coronary artery diseaseSaudi Arabiacardiovascular disease

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