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- W2531360218 abstract "Introduction: Clinical profile of Coronary artery disease in valvular heart disease undergoing valve replacement surgeryhas not been reported from North Eastern India. Aim: To study the Clinical profile of Coronary artery disease in valvular heart disease undergoing valve replacement surgery has Materials And Methods: We prospectively collected data of valvular heart disease above 35 years who were scheduled for valve surgery from December 2011 to November 2013..The baseline clinical characteristics which were analyzed were the age, gender, hypertension (blood pressure > 140/90 mm Hg and/ or those already taking treatment for hypertension), diabetes mellitus (fasting blood glucose >126 mg/dL and/or postprandial blood glucose >200 mg/dL and those who were on treatment for diabetes mellitus), smoking status &dyslipidemia (cholesterol >200 mg/dL and/or triglycerides >200 mg/dL and/or ,LDL>130 mg/dL and/or HDL<40 mg/dL ) . Selective coronary arteriography was performed by the Judkins technique The patients were divided into two groups based on presence of CAD. A comparasion of clinical paramaters between two groups were obtained Results: A total of 126 valvular disease cases were included in the study. overall prevalenceof coronary artery disease was 14.28% . Frequency of coronary artery disease among mitral, aortic, and combined mitral and aortic valve lesion is 3.13%, 33.33% and 21.05% respectively. In comparison to mitral valve disease, aortic valve disease and combined lesion having significantly high chances of coronary artery disease (p=0.001).On comparing the clinical characteristic of patients with CAD from those without having CAD, we observed that , mean age of the patients with coronary artery disease (59.45±10.58) are significantly high in comparison to without coronary artery disease (48.92±6.57).Coronary artery disease group also had significantly high prevalence of diabetes mellitus, hypertension, and dyslipidemia (p value of <0.001 for each) and also more likely to present with angina. Conclusion: We conclude that in patients with valvular heart disease undergoing valve replacement surgery, the overall prevalence of CAD is low at 14.28%.Patients having CAD are more likely to present with angina and have higher prevalence of cardiovascular risk factors." @default.
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- W2531360218 date "2016-09-01" @default.
- W2531360218 modified "2023-10-01" @default.
- W2531360218 title "Clinical Profile of Coronary Artery Disease In Valvular Heart Disease Undergoing Valve Replacement Surgery" @default.
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- W2531360218 doi "https://doi.org/10.9790/0853-1509141620" @default.
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