Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Dikshya Joshi, Rabindra Timala, Siddhartha Pradhan, Raamesh Koirala, Jyotindra Sharma, Bijoy Gopal Rajbanshi and Apurb Sharma
Shahid Gangalal National Heart Centre, Nepal
Scientific Tracks Abstracts: J Clin Exp Cardiolog
Background: Preoperative coronary angiogram is routinely performed in high risk age-group in rheumatic population undergoing valve surgery at our centre. Preoperative angiogram itself carries risks. We sought to evaluate the prevalence of coronary artery disease in those patients so that recommendations on preoperative angiogram can be made. Methods: We reviewed medical records of patients above 35 years who underwent valve surgery from January 2015 to July 2017. We defined significant coronary artery disease as ΓΆΒ?Β¥50% stenosis in one or more major coronaries. Overall prevalence and age-specific prevalence were determined. Results: A total of 675 patients above 35 years of age undergoing valve surgery were assessed for eligibility. Among them, 563 (84.3%) patients had rheumatic heart disease. However, only 337 patients had undergone preoperative angiogram and were included in the analysis. Overall prevalence of coronary artery disease was 13(2.3%). Age-specific prevalence was as follows: age-group 40-50 years 0 of 127 patients (0%), 51-55 years 6 of 95 patients (6.3%), 55-60 years 1 of 56 patients (1.7%), and more than 60 years 6 of 52 patients (11.5%). Prevalence did not significantly differ between male and female population. Conclusion: The prevalence of coronary artery disease in rheumatic patients requiring valve replacement seems to be lower compared to the available prevalence data of general Nepalese population. There were no cases of angiographically significant coronary heart disease in the age between 40-50 years. However, the results of this study should be inferred with caution and prospectively planned study with risk factor analysis is warranted.
Dikshya Joshi is currently working at Shahid Gangalal National Heart Centre, the busiest and Comprehensive cardiac Centre of Nepal. She is the first female cardiac surgeon of the country and has almost 10 years of experience in both adult and congenital cardiac surgery. She has extensive Experience in treating Rheumatic Heart Disease and has presented papers and articles both in national and international platforms. Her research works have received various awards and recognition. Evidence of her expert status among her peers also includes membership on the editorial board of the “Annual Report” publication of her Center. She is passionately interested in the new advances and researches to achieve excellence in quality cardiac care in Nepal. She has a particular interest in Minimally Invasive Cardiac Surgery and her current focus is in the introduction of this program at her Centre which will unquestionably make a difference minimizing the cumulative trauma of surgery to younger patients undergoing valve surgeries for Rheumatic Heart Disease.
Email:joshidixa@hotmail.com