Demographic, Clinical and Angiographic Real-life pattern in a contemporary cohort of Egyptian Patients Scheduled for Coronary Angiography at Banha university Hospital

Abstract

Background: Cardiovascular diseases cause approximately one-third of deaths worldwide. This study aimed to evaluate the burden of risk factors, demographic data and in-hospital outcome of patients undergoing coronary catheterization with or without intervention in Benha university hospital. Methods: This cross-sectional study included 600 patients undergoing coronary catheterization with or without intervention at Benha university hospitals, during the period from February 2023 to February 2024. Results: 70% occlusion in 74% of participant, however bifurcation occlusion was seen only 4.6% of participants, however total occlusion was reported in 29.8% of them. Age difference revealed that many risk factors were significantly higher among elderly ≥71 years including HTN, class 3 obesity, Hyperlipidemia, and DCM, DM was high in both 41-70 years and 71 years groups (50.0, and 46.2% respectively). Participants aged < 40 years old were more brone to >70% occlusion (90.9%), or occlusion at bifurcation (18.2%), however patients whose age >71 years old were more brone to occlusion < 50% (83.3%). Conclusions: Abnormal coronary angiography (CA) was more prevalent in older, male, and less-educated patients. Key risk factors such as diabetes, smoking, dyslipidemia, and prior cardiac history were strongly associated with abnormal CA. Additionally, systolic blood pressure (SBP) and serum creatinine levels were significantly higher in this group, while heart rate (HR) and left ventricular ejection fraction (LVEF) were lower.