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Collateral Development in Patients Undergoing Coronary Angiography in a Tertiary Care Centre: A Descriptive
Ajeevan Gautam1, Bishnu Mani Dhital2, Manas Pokhrel3
1Department of Anatomy, Chitwan Medical College, Bharatpur, Chitwan, Nepal.
Insights
The prevalence of coronary collateral circulation in patients undergoing coronary angiography was 49.41%. This finding aligns with existing literature on artery blood circulation.
Area of Science:
- Cardiology
- Vascular Biology
Background:
- Coronary artery disease is a leading global cardiovascular issue.
- Coronary collateral circulation acts as a critical backup blood supply when major arteries are blocked.
- Understanding collateral development prevalence is vital for managing myocardial blood flow.
Purpose of the Study:
- To determine the prevalence of collateral circulation development in patients undergoing coronary angiography.
- To assess the incidence of this compensatory mechanism in a tertiary care setting.
Main Methods:
- A descriptive cross-sectional study was performed.
- Data was collected from 170 patients undergoing coronary angiography between November 2021 and April 2022.
- Convenience sampling and retrieval of operation records were utilized.
Main Results:
- A prevalence of 49.41% (95% Confidence Interval: 41.6-56.6) for collateral circulation development was observed.
- The average age of the study participants was 62.8 ± 11.7 years.
Conclusions:
- The prevalence of coronary collateral artery development in this study is consistent with previously published data.
- These findings contribute to the understanding of blood circulation adaptations in coronary artery disease.
Introduction:
Coronary artery disease is one of the major cardiovascular diseases affecting the global human population. When the primary stenotic or blocked channel fails to deliver enough blood to the myocardium, the coronary collateral circulation serves as a backup source of blood supply. The aim of this study was to find out the prevalence of collateral development in patients undergoing coronary angiography in a tertiary care centre.
Methods:
This descriptive cross-sectional study was conducted among patients with peripheral vascular injuries that underwent operative management in a tertiary care centre from November 2021 to April 2022. Ethical approval was taken from the Institutional Review Committee (Registration number: CMC-IRC/078/079-027). Convenience sampling technique was used. Data for the study was retrieved from operation records of the patients along with their treatment summaries. Point estimate and 95% Confidence Interval were calculated.
Results:
Among 170 patients undergoing coronary angiography, 84 (49.41%) (41.6-56.6, 95% Confidence Interval) had developed collateral circulation. The mean age was 62.8±11.7 years.
Conclusions:
The prevalence of collateral development in the coronary artery was similar to other published literature.
Keywords:
angiography; artery; blood circulation; prevalence.
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