Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Modification of lipid subtypes improves the prognosis of ischemic heart disease.
OBJECTIVE:
Correlating the coronary angiographic finding with the measurement of different plasma lipid parameters.
PATIENT AND METHODS:
(180) hundred eighty patients admitted in the study, (120) patients were male, (60) patient were female, their age range (29-72 years) were randomly assigned into four groups.
Group (1): Patient with myocardial infarction (STEMI).
Group (2): Patient with non-STEMI myocardial infarction.
Group (3): Patient with unstable angina.
Group (4): Patient with ischemic cardiomyopathy.
The angiographic findings, were classified according to the guidelines of (ACC/AHA) all patients had lipid parameters correlated to their angiographic finding (A, B, C, respectively).
RESULTS:
This study showed that there was significantly correlated between the levels of HDL, LDL, triglyceride and the coronary angiographic findings in groups (A, B, C) (0.05, 0.001, 0.001) respective. However the use of Atherogesic index (TG/HDL-c) was highly significant and nave clinical evaluation the severity of extent of coronary artery disease (i.e. the Raton (5.9) in group A, (5.2) in group B, (4.8) croup C).
CONCLUSION:
Using more than one lipid parameter can assess the severity of coronary artery disease.