Cardiovascular Academy Digital Congress, İzmir, Türkiye, 16 - 20 Eylül 2020, ss.107
Objective: Established risk factors are good predictors of the occurrence of coronary artery disease (CAD), but their correlation with
severity of the disease persists argumentative and may vary among across ethnic groups. In this study, we examined the prevalence
of cardiovascular risk factors in Turkish patients with attested CAD and attempted to clarify which of these factors are associated
with the severity of the disease.
Methods: We studied 2433 consecutive CAD cases, retrospectively. The extent of the disease was calculated based on the existence or
lack of multiple (>=2) diseased vessels from conventional coronary angiography findings.
Results: In the study population 36.5% of patients were between 60-69 years and approximately two thirds of patients (76.9%) were
men. Hyper- tension, diabetes mellitus and hyperlipidemia were the most common cardiovascular risk factors (CRFs), present in
54.8%, 43.2% and 50.3% of patients, respectively. Multiple logistic regression analysis showed that diabetes mellitus, advanced age
since 6th decade and male sex significantly raised the risk of multivessel CAD: odds ratios of 1.29 (1.08-1.54; p=0.004), 1.35 (1.1-
1.66; p=0.004) respectively. Other traditional CRFs (hypertension, dyslipidaemia) were not correlated with CAD severity.
Conclusion: Diabetes mellitus appeared as the most powerful risk factor predicting multivessel disease in Turkish patients.
Keywords: Turkish, ethnic, angiography. Multi vessel, coronary