COMPARING CORONARY ANGIOGRAPHIC FINDINGS AMONG DIABETIC AND NON-DIABETIC PATIENTS

Taha Othman Mahwi a, Aram Jamal Mirza b, and Redwan Jaza Abdalwahid c



a  Department of Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 
b Cardiology Consultant, Sulaimani Directorate of Health, Kurdistan Region, Iraq.
c Internal Medicine  Board Trainee, Sulaimani, Kurdistan Region, Iraq.
 

Submitted: 24/2/2019; Accepted: 18/6/2019; Published: 21/6/2019

ABSTRACT


Background 

Diabetes mellitus is worldwide metabolic and vascular problem characterized by hyperglycemia. People with diabetes have a 4-fold-greater risk for having a cardiovascular disease than people without diabetes.


Objectives 

To look at the effect of diabetes mellitus on the number of the coronary vessels involved and the extent of coronary artery disease and the association of different socio-demographic characteristics in respect to diabetic and non-diabetic patients.


Patients and Methods

A cross-sectional observational study was conducted on two hundred patients who were admitted to Sulaimani Cardiac Teaching Hospital between March and September 2018. Half of the cases were diabetic and the other half were non-diabetic.


Results

Among the total of 200 patients involved in the study, 59% were males and 41% were females. Mean age was 60.98±10.60. Average HbA1c% value for DM patients was 8.46±2.10. Coronary angiography results in diabetic patients were positive for more multi vessel disease than non-diabetic patients (53% vs. 39%) (p value = 0.005). Diabetic patients were more likely to be hypertensive than non-diabetic patients (59% vs. 40%) (p value=0.001).


Conclusion

Diabetes mellitus is a risk factor for coronary artery disease and diabetic patients had more extensive CAD, which is comparable to other studies done in different countries

 


KEYWORDS

Coronary angiography, Diabetes mellitus, Coronary artery disease.