Clinical & Experimental Cardiology
Open Access

Abstract

Results of Coronary Angiography in Diabetics at the Niamey General Reference Hospital

Hama Idrissa*, Mahamane Sani Mahamane Aminou, Oumarou Sidikou Sory, Garba Chaibou Rayyanatou, Maliki Abdoulaye Moctar, Dodo Boubacar, Labo Saidou, Djibrillou Moussa, Tchirgny Raynatou, Masengesho Midago Janvier, Maidadi Samuel, Adehossi Eric and Ibrahim Ali Toure

Introduction: Diabetes is a worldwide pandemic and a major risk factor in the pathogenesis of coronary lesions. Coronary angiography is an essential examination for the management of these coronary lesions. The aim of our study was to analyze and interpret the results of coronary angiography performed on diabetic patients at the Niamey General Referral Hospital.

Method: This was a retrospective study over two years, from December, 2017 to December, 2019, carried out in the cardiology department of the Niamey General Referral Hospital. All diabetic patients who had undergone coronary angiography during this period were included. Data was entered and analyzed using International Business Machines Statistical Package for the Social Sciences (IBM SPSS) statistic 21. For correlation, the statistical test was Chi-Square (χ2) with a significance level (p<0.05).

Results: A total of 217 patients came to the department for coronary angiography. It was the only interventional cardiology center in Niger during the study period. Of these patients, 59 were diabetic (27.18%). The mean age was 56 ± 11 years, with extremes ranging from 18 to 84 years. Men predominated (67.8%). Type 2 diabetes was the most common (98.30%). The radial route was the most used (94.92%). Coronary angiography was abnormal in 45.76% of cases. Among the lesions, significant stenosis were the most common in 76.79% of cases and occlusions in 23.21%. The anterior interventricular was the most affected in 33.93% of cases, followed by the circumflex (23.21%) and the right coronary (14.29%). Angioplasty was performed in 25.42% of cases with active stents. The correlations between lesions and diabetes were not statistically significant, probably due to the size of the sample. Patients' clinical condition improved in 94.9% of cases and was stable in 5.08% of cases.

Conclusion: Coronary angiography remains essential for the diagnosis of lesions in coronary artery disease, particularly in diabetic patients. The results of this study are a perfect illustration of this and have made it possible to adapt treatment.

Published Date: 2024-11-25; Received Date: 2024-10-26