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Shad B, Mirbolok F, Kheirkhah J, Rahmani S, Ghanbari A. The Studty of Relationship Between Cardiac Collateral with Clinical Outcomes in Patient with the Acute Coronary Syndrome. jour guilan uni med sci. 2015; 24 (S2) :35-40
URL: http://journal.gums.ac.ir/article-1-1056-en.html
Guilan University of Medical Sciences
Abstract:   (12678 Views)
Abstract Introduction: The importance of collateral circulation in acute coronary syndrome and its diagnostic factors has attracted a lot of attention. The presence of these vessels does not make a significant change in the incidence of angina, myocardial infarction and ventricular walls or hemodynamic disorder. On the other hand, in some studies, peripheral blood vessels in patients with CAD cause a normal electrocardiogram View. Due to the effect of collateral vessels and the presence of disagreement, the effect of collateral circulation on clinical outcome in a group of patients with ACS, are discussed. Objective: Identify the relationship between coronary collateral blood flows on clinical outcomes in patients with acute coronary syndrome admitted to hospital in Rasht Materials and Methods: This cross sectional study on 99 patients with acute coronary syndrome who are referred to hospital Heshmat coronary angiography was performed. Coronary angiography, echocardiography and creatine kinase also initially and then 12 and 48 hours after it was measured. Patients with and without collateral vessels over a year in terms of clinical outcomes, including death, reinfarction and recurrent ischemia and shortcomings of readmission due to systolic ejection were included. Its peripheral blood flow with clinical outcome depending on the chosen treatment strategy in patients after coronary angiography was studied. Using descriptive and inferential statistical analysis was performed with SPSS version 20. Results: 99 from 113 patients (56.6% were male and 43.4% were female) remain in the study. Mean age of samples were 59.34±9.75. 40 ( 40.4%) of patients had collateral vessels and 59(59.6%) of patients had no collateral vessels. The difference between sexes, length of hospitalization, number of heart beats per minute, systolic and diastolic blood pressure was not significant for the presence of collateral vessels. There exists a significant relationship between diabetes mellitus and coronary collaterals. (p=0.001 ( . No significant differences have been observed in the systolic ejection fraction between the two groups at baseline and after two periods of 1 year. There is no significant correlation between neither readmission nor mortality and coronary collaterals. Conclusion: This study showed that, in patients with ACS (includes angina and MI), in outcomes such as mortality and readmission and preserved systolic function in patients with and without collateral vessels, there is no significant difference Conflict of interest: non declared
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Type of Study: Research | Subject: Special
Received: 2015/10/17 | Accepted: 2015/10/17 | Published: 2015/10/17

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