Study of clinical and surgical association in patients having combined coronary artery and cardiovascular diseases.

Abstract

The association between coronary artery disease and non-coronary atherosclerosis is explained by cardiovascular risk factors. A large majority of patients with combined coronary and carotid disease live for more than 5 years. An increase in CIMT (carotid intima-media thickness) by carotid Doppler ultrasound examination is associated with the presence and extent of CAD. The present study is designed with an objective to study the association of coronary artery disease with various cardiovascular complications. This is a prospective study of patients with proven coronary artery disease or detected on workup for surgery along with significant non-coronary cardiovascular diseases. A total of 40 patients who met with the inclusion criteria were included as a subject for the study. Patients from both the genders from the age 31- 80 years were included. The youngest patient was a 38 yrs lady who presented with aorto bi iliac disease 2 years after undergoing CABG. All the selected subjects were assessed for the clinical presentation of the lesion and a maximum 30 patients were observed with Aortoiliac disease. Diabetes was the most common co-morbid factor which affected 36 patients among the selection. Post-operative observation revealed that 30% of patients were found to be diseased by Transient renal dysfunction. This evident that the patients with vascular disease have high concomitant coronary artery involvement with disease. Patients with significant associated carotid stenosis benefit by combined Carotid endarterectomy and CABG. Medically treated patients of ischemic VSD have grim prognosis; nevertheless, cardiogenic shock is an important predictor of surgical outcome.