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Coronary Angiography: Indications, Results and Cost-Effectiveness in the Diagnosis of Stable Angina Pectoris in Two Hospitals in Senegal

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World Journal of Cardiovascular Diseases 2021年第8期11卷 347-356页

作者： paul coffi hessou Joseph Salvador Mingou Maboury Diao Fatou Aw Leye Mouhamadou Bamba Ndiaye Simon Antoine Sarr Malick Bodian Papa Guirane Ndiaye Bouna Diack Alasane Mbaye Aliou Alassane Ngaïde Laboratory of Physiology and Functional Physiological Explorations Dakar Senegal Faculty of Medicine Pharmacy and Odontology Cheick Anta Diop University Dakar Senegal Department of Cardiology University Hospital Center Aristide le Dantec Dakar Senegal Department of Cardiology Idrissa Pouye General Hospital Dakar Senegal

Background: The current gold standard for the diagnosis of stable coronary artery disease (CAD) is invasive coronary angiography. But a large proportion of patients undergoing coronary angiography don’t have obstructive coronary artery disease. Objective: The aim of the present study was to evaluate the diagnostic performance of invasive coronary angiography for patients without known coronary artery disease presenting with stable chest pain syndrome at two hospitals structures in Senegal. Method: We conducted a prospective, descriptive, and analytical study from March 1, 2019, to December 31, 2020 in the Cardiology Departments of General Hospital Idrissa Pouye (HOGIP) and Aristide Le Dantec Hospital (HALD). During the study period a cohort of patients referred to angiography coronary for diagnostic CAD because of suspected stable angina were enrolled. Demographic characteristics, risk factors, symptoms, and noninvasive test results were correlated with the presence of obstructive coronary artery disease. Results: A total of 143 patients were included in our study with a median age of 60.91 ± 10.58 years;men were 96 (67.13%) and women 47 (32.87%). The prevalence of hypertension was 60.84%;diabetes was 34.27%;dyslipidemia was 32.17% and sedentary was 26.57% in our study population. Typical and atypical angina symptoms were present in 37.76% (n = 54) and 49.65% (n = 71) respectively, while 10.49% had dyspnea. Coronary angiography revealed 59 (41.26%) patients with no CAD as well as 27 (18.88%) with one-vessel;28 (19.58%) with two-vessel, and 29 (20.28%) with three-vessel disease. Independent predictive factors for stable angina with the presence of obstructive lesion were: patient age (OR,

关键词： Stable Angina Invasive Angiography Diagnostic Efficacy Senegal

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Coronary Angiography: Indications, Results and Cost-Effectiveness in the Diagnosis of Stable Angina Pectoris in Two Hospitals in Senegal

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World Journal of Cardiovascular Diseases（心血管病） 2021年第8期

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