Key result
Coronary artery disease was highly prevalent among middle-aged Libyan men, with smoking, diabetes, and hypertension identified as the most significant contributing risk factors.
Why the study?
Coronary artery disease is the leading cause of death worldwide in both men and women, prompting an evaluation of the effects of various risk factors on coronary angiographic outcomes.
Observational (n=615)
No
In a Libyan cohort undergoing coronary angiography, CAD was highly prevalent among middle-aged men and strongly driven by smoking, whereas women more frequently had normal angiograms but higher rates of diabetes and hypertension.
May inform regional CAD screening in Libya; leaves open prospective validation before practice change.
Aims Coronary artery disease (CAD) is the leading cause of death worldwide in both men and women. Accordingly, we retrospectively reviewed the effects of various risk factors on coronary angiographic outcomes. Methods and Results Data were collected from the catheter lab through Tripoli university hospital records, whereas the team reviewed clinical data and coronary artery diagrams for one year from 01/04/2019 to 31/03/2020. In our study, the total number of cases was 666; 401 male and 265 female, ranging in age between 27 and 91 years. Considering the data, a significantly increased incidence of coronary artery disease (CAD) among the male who smokes, and who were less than 60 years of age. Furthermore, in the present study, the total number of normal patients was predominantly female. The most common risk factors for women were diabetes mellitus (DM), hypertension (HTN) (12%,13% respectively). While the men share the significant effects of smoking on coronary angiography (C. Angio) findings (40.52%), and most of them underwent a percutaneous coronary intervention (PCI). Conclusions In our study, there was evidence that CAD is a prevalent disease among the middle-aged populations with male gender preference. The risk factors including diabetes, hypertension, and smoking are the most contributing factors for the developing CAD in Libya.
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Bheleel et al. (2021) conducted an observational in Coronary Artery Disease (n=615). Cardiovascular risk factors (smoking, diabetes, hypertension) vs. Absence of risk factors was evaluated on Coronary angiographic outcomes (normal, medical therapy, PCI, or CABG). Coronary artery disease was highly prevalent among middle-aged Libyan men, with smoking, diabetes, and hypertension identified as the most significant contributing risk factors.
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