title: Evaluation of Coronary Artery Status by Coronary Angiography after First Survival of Acute Myocardial Infarction.
abstract: BACKGROUND
  Acute Myocardial Infarction (AMI) is a life threatening medical emergency which needs urgent medical attention. It is one of the major cause of mortality and morbidity throughout the world.
  
  
  OBJECTIVE
  The aim of the present study was to assess the coronary artery status by Coronary Angiography (CAG) after first survival of the Acute Myocardial Infarction (AMI) and to correlate the CAG findings with Coronary Artery Disease (CAD) Risk Factor (RF) and effect of early thrombolysis.
  
  
  METHODS
  CAG was done on 870 patients consecutively from June 2013 to May 2015. Age, Gender, Body Mass Index (BMI), CAD risk factors (RF) such as Type 2 diabetes mellitus (T2 DM), hypertension, dyslipidaemia, smoking status and history of thrombolyctic status were recorded. The correlation between the CAD risk factors (RF) and the CAG findings were statistically analyzed.
  
  
  RESULTS
  Coronary heart disease risk factors analysis revealed ≥ three RF in 23.88%, two RF in 29.88% and one RFin 45.86% of patients. CAG showed Single Vessel Disease (SVD) in 236 (27.1%) patients, double vessel disease (DVD) in 220(25.2%) patients, Triple Vessel Disease (TVD) in 252 (28.9%) patients. Multiple coronary artery involvement were found in the high risk group patients, which was found statistically significant (p-value<0.0001). A total of 348/870 (40%) patients were thrombolysed amongst them 80 (22.9%) revealed minimal and/or normal coronary artery which was found statistically significant (p-value<0.0001).
  
  
  CONCLUSIONS
  Higher the coronary risk factors, more the chance of the multiple coronary arteries involvement. All AMI patients should be thrombolysed as early as possible to get the benefit of recanalization of the culprit vessel.
authors.affiliation: Associate Professor, Department of Cardiology, Sri Aurobindo Medical College and PG Institute , Indore, MP, India .
authors.forename: Siddhant
authors.initials: S
authors.lastname: Jain
authors.affiliation: Associate Professor, Department of Cardiology, Sri Aurobindo Medical College and PG Institute , Indore, MP, India .
authors.forename: Narayan Chandra
authors.initials: NC
authors.lastname: Sarkar
authors.affiliation: Post Graduate Resident, Department of Pathology, Institute of Post Graduate Medical Education and Research and SSKM Hosptial , Kolkata, WB, India .
authors.forename: Piyabi
authors.initials: P
authors.lastname: Sarkar
authors.affiliation: Interventional Cardiologist, CHL-Apollo Hospital , Indore, MP, India .
authors.forename: Nitin
authors.initials: N
authors.lastname: Modi
authors.affiliation: Assistant Professor, Department of Medicine, Sri Aurobindo Medical College and PG Institute , Indore, MP, India .
authors.forename: Mahendra
authors.initials: M
authors.lastname: Tilkar
keywords: Coronary artery disease; Risk factor; Thrombolysis
references.citation: N Engl J Med. 1993 Nov 25;329(22):1615-22
references.pmid: 8232430
references.citation: J Am Coll Cardiol. 2008 Aug 19;52(8):605-15
references.pmid: 18702962
references.citation: J Am Coll Cardiol. 1989 Nov 15;14(6):1456-63
references.pmid: 2809004
references.citation: J R Soc Med. 2002 Aug;95(8):398-400
references.pmid: 12151489
references.citation: J Am Coll Cardiol. 1989 Jul;14 (1):150-4
references.pmid: 2525582
references.citation: Eur Urol. 2003 Sep;44(3):360-4; discussion 364-5
references.pmid: 12932937
references.citation: Indian Heart J. 2005 Nov-Dec;57(6):632-8
references.pmid: 16521628
references.citation: Circulation. 1998 Feb 17;97(6):596-601
references.pmid: 9494031
references.citation: Arch Intern Med. 2007 Apr 23;167(8):808-13
references.pmid: 17452544
references.citation: J Intern Med. 2007 Apr;261(4):330-48
references.pmid: 17391108
references.citation: Eur Heart J. 2008 Mar;29(5):594-601
references.pmid: 18270214
references.citation: JAMA. 2005 Apr 20;293(15):1861-7
references.pmid: 15840860
references.citation: J Am Coll Cardiol. 2012 Dec 4;60(22):2343-8
references.pmid: 22995536
references.citation: Circulation. 1986 Dec;74(6):1255-65
references.pmid: 3779913
references.citation: Eur Heart J. 1996 Jul;17(7):1015-21
references.pmid: 8809518
references.citation: Circulation. 2015 Jan 27;131(4):e29-322
references.pmid: 25520374
references.citation: Heart. 2008 Jan;94(1):16-26
references.pmid: 18083949
references.citation: Lancet. 1988 Aug 13;2(8607):349-60
references.pmid: 2899772
references.citation: Indian Heart J. 2009 Jul-Aug;61(4):358-67
references.pmid: 20635739
references.citation: Lancet. 2002 Sep 14;360(9336):825-9
references.pmid: 12243916
references.citation: J Am Coll Cardiol. 2007 Oct 2;50(14):1370-2
references.pmid: 17903637
references.citation: Indian J Med Res. 2006 Sep;124(3):235-44
references.pmid: 17085827