Acta Medica Medianae
Institut za kardiovaskularne bolesti Dedinje
DOMINANCE OF CORONARY ARTERY DISEASE AMONG PATIENTS
Institut za kardiovaskularne bolesti Dedinje u Beogradu
Persons with aneurism of the abdominal aorta have high prevalence of risk factors of cardiovascular disease. It cannot be stated with certainty whether these persons die in a large number due to the existence of risk factors or the genesis and complications of aneurism itself. In patients with aneurism of the abdominal aorta there is a high correlation with the coronary artery disease; therefore, the aim of the study was to prove whether or not this is the case. The patients in preparation for the resection of the abdominal aorta aneurism at the Institute of Cardiovascular Disease underwent the examination. The study included 377 examinees, of whom 341 males and 36 females, aged 45 to 83 years, during the three-year interval (from 2004 to 2006). The aim of the study was to determine the dominance of the coronary artery disease among the patients with aneurism of the abdominal aorta. In the process of analyzing the data obtained from patients and medical evidence, it was found out that a large number of the abdominal aortic aneurism patients were at the same time the coronary artery disease patients (55,2%; Hi=15,04; p<0,05). A large number of those who still have some other risk factors for the genesis of the disease belonged to the same group. Of the total patient number with the coronary artery disease, the percentage of males was larger (85%). The number of smokers with the coronary artery disease was larger (60%), while the number of former smokers (28%) was almost equal to the number of non-smokers (12%). The number of patients with increased body mass (>80 kg) was larger, as well as the percentage of patients with hypertension (89%) and increased levels of cholesterol and triglycerides (67%). There was a great number of those with the inherited factor (40%). It has been proven that the risk factors for the development of coronary artery disease are in direct association with the risk factors for the abdominal aortic aneurism. Also, there is a great predominance of the coronary artery disease among the patients with aneurism of the abdominal aorta. The coronary artery disease is one of the main risk factors. If we managed to prevent the appearance of this disease or achieve the on-time diagnosing of it and eventual curing, we would be able to decrease the development of the abdominal aortic aneurism well as the consequences and further complications. Acta Medica Medianae 2007;46(4):20-25.