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Mohammad Morshedul Ahsan

Shaheed Ziaur Rahman Medical College and Hospital, Bogura, Bangladesh

Presentation Title:

Clinical characteristics, risk factors and angiographic profile of patients undergoing coronary angiography in a tertiary care hospital

Abstract

Background: In both developed and developing countries, coronary artery disease is one of the most common causes of huge mortality and morbidity. Considering the increasing burden of coronary artery disease, to control the mortality as well as morbidity of this disease, identifying risk factors, studying the clinical profile and angiographic pattern of such patients is very important.

Aim of the Study: The aim of this study was to accumulate the clinical characteristics, risk factors and angiographic profile of patients undergoing coronary angiography.
Methods: This prospective observational study was conducted in the department of Cardiology, Shaheed Ziaur Rahman Medical College & Hospital Bogura, Bangladesh during the period from January 2020 to June 2022. In total 165 patients undergoing coronary angiography in the mentioned hospital were enrolled in this study as study subjects. As per the inclusion criteria of this study, patients from several age groups of both genders were included as the study subjects. A predesigned questioner was used in collecting data regarding all demographic, clinical and diagnostic findings.

Results: In this study, as the clinical diagnostic findings of participants UA, NSTEMI, anterior STEMI, inferior STEMI and CSA were found among 42%, 16%, 14%, 13% and 15% cases respectively. As the risk factors, DM was found in 18% cases and HTN was found in 17% cases which were noticeable. Besides these, smoking, family history and hypothyroidism were found among 10%, 2% and 1% participants respectively. Finally, in analyzing the coronary angiography findings of our study people we observed that, 35% patients were with normal coronary artery. Among a large proportion of patients, SVD was found which were in 31% (n=52) cases. Besides these, DVD,TVD, ‘TVD & LM’ and minor CAD were found in 17%, 13%, 2% (n=4) and another 2% (n=3) cases respectively.

Conclusion: In this study, in clinical diagnosis, unstable angina was found as the most common presentation. DM as well as HTN were very frequent risk factors among CAD patients. As the coronary angiographic findings, although more than one-third patients were found with normal coronary artery, a large proportion of patients were found with SVD, DVD and TVD. In some cases, ‘TVD & LM’ and minor CAD were also detected by CAG.

Biography

Mohammad Morshedul Ahsan obtained his MD in Cardiology from the National Institute of Cardiovascular Diseases (NICVD) under Dhaka University in 2017 and his MBBS from Sir Salimullah Medical College (SSMC) under Dhaka University in 2002. He is highly skilled in coronary care unit management, particularly in coronary artery disease, heart failure, and hypertension, as well as in cardiac investigations such as echocardiography, Exercise Tolerance Testing (ETT), and Holter monitoring. His expertise also extends to coronary interventions, including coronary angiography and angioplasty. He began his career as a Medical Officer after qualifying in the 24th BCS examination and subsequently served as assistant registrar in cardiology and medicine across several medical college hospitals in Bangladesh. Following the completion of his MD, he worked as assistant registrar at NICVD and was later promoted to Junior consultant in cardiology before assuming his current position as assistant professor of cardiology at Shaheed Ziaur Rahman Medical College and Hospital, Bogura, where he continues to provide dedicated cardiac care services. He has published around twenty research papers in various national and international indexed journals.