Internal Medicine

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Browsing Internal Medicine by Author "Alemayehu, Bekele (MD, Internist,Interventional Cardiologist)"

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    Coronary angiography findings and outcomes of percutaneous coronary interventions in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Abeba University, 2020-12) Semere, Akberet; Alemayehu, Bekele (MD, Internist,Interventional Cardiologist)
    Background: Some hospital based studies showed that CAD is a major cause of mortality and morbidity and the incidence of CAD is increasing in middle and low income countries like Ethiopia even though there is no country wide study done. Objective: The purpose of this study is to describe the coronary angiography findings and outcomes of PCI in TASH. Methodology: A retrospective cross sectional study was conducted on coronary angiography findings and outcomes of PCI at TASH using structured questionnaire from January 1/ 2017 to December 1 / 2020. Datas were analyzed and interpreted using SPSS version 26 software. Result: Coronary angiography was done for 149 patients, of which, 124 (83.2%) patients were males and 25 (16.8%) patients were females with the age range of 24 to 88 years. The median age was 52 years with mean ages of 53.2+ 12.46, the most frequent age stratum being 45 to 55 years. ACS was the clinical diagnosis in 68 (45.6 %) of patients, of which 51 patients (34.2% of the total) had STEMI. With catheterization, 108 (72.5%) patients had evidence of CAD, of which, 41 (37.9%) patients had multivessel disease. PCI was done for 60 (40.2%) patients and TIMI III was achieved. The in hospital mortality was 0.67%. In a bivariate analysis, Diabetes was associated with multi-vessel disease (P=0.016), (COR 3.04 ) 95% CI(1.23-7.51). Conclusion: CAD in Ethiopia occurs early in lfe mainly involving LAD and is associated with adverse consequences. PCI has been shown to have low complications and low in hospital mortality making it a safe procedure.