Evaluate of Angiographic Severity of Coronary Artery Disease in Patients with NSTEMI by Gensini Score and Vessel Score

Abstract

Background: Cardiovascular disease is leading cause of mortality and morbidity in developed and developing countries. Metabolic syndrome (MS) is a risk factor for coronary artery disease (CAD). Objective: The aim of this study is to evaluate the angiographic severity of coronary artery disease in patients with NSTEMI by Gensini score and \Vessel score. Methods: This cross-sectional observational study was done at the National Institute of Cardiovascular Diseases (NICVD), Dhaka. A total of 100 patients with NSTEMI underwent coronary angiography were included in the study. Coronary angiogram was done during index hospital admission. On the basis of WHR, study patients were divided into two groups: 50 patients of NSTEMI with normal WHR (Male <0.90, Female <0.80) were assigned as group I and 50 patients of NSTEMI with increased WHR (Male ≥0.90, Female ≥0.80) were assigned as group II. Results: In this study patients with non-critical CAD (14% vs 0%, P = 0.02) and single vessel disease (58% vs 24%, P = 0.005) were more frequent in Group I, on contrary double vessel disease (24% vs 56%, P = 0.001) and triple vessel disease (4% vs 20%, P = 0.03) were more frequent in patients of Group II with significant difference. Conclusion: WHR levels were found to be higher in patients with high degree of angiographic stenosis in terms of Genseni’s score.