PREVALENCE OF ANGIOGRAPHY POSITIVITY AND IDENTIFIED TRADITIONAL RISK FACTORS AMONG PATIENTS WHO UNDERWENT CORONARY ANGIOGRAPHY AT SAINT PETERs SPECIALIZED HOSPITAL, ADDIS ABABA, ETHIOPIA

Abstract

Abstract: Background: The prevalence of ischemic heart disease is continuously increasing over the past fifty years in Ethiopia, even though this data is extracted from hospital based studies. The objective of this study is to see prevalence of angiography positivity and identify traditional risk factors among patients who underwent angiography at St. peter’s specialized hospital. Method: This is a hospital based retrospective cross sectional study, carried out at St. Peter coronary care unit. All patients who underwent coronary angiograph from December 1, 2017-Jun 30, 2019. Data was collected through structured check list analyzed using statistical package for social science version 25.frequencies and appropriate measures of central tendency were calculated along with binary logistic regression. Result: A total of 290 patients were included in this study, of which 218(75.2%) were male. The mean age was 55.16±12.665. Coronary artery disease was diagnosed in 217(74.8%) from which 59.3% is significant obstruction with single vessel disease involvement in 123(42.4%), while double vessel, and three vessel disease were found in 52(17.9%), 42(14.5%) respectively. Left anterior descending artery was by far the commonest vessel affected 158(74.2%), followed by disease of right coronary artery 102(46.5%) and left circumflex artery 89(41.2). Left main disease was found in only 4 patients holding 1.8%.190 (65.5%) patients were hypertensive or on antihypertensive medication, while 122 (68.5%) and 110(38.3%) patients were dyslipidemic and diabetic respectively. Conclusion: The high Angiography positivity coupled with single vessel dominated pattern and the fact that recent MI is the commonest indication shows that both the diagnostic and interventional services particularly PCI should be exercised. Conventional risk factors were highly prevalent in our patients with coronary artery disease. Key words: Coronary Artery Disease, Angiography, Pattern, Risk factor, Ethiopia,