Diagnosis and risk stratification of coronary artery disease in Yemeni patients using treadmill test

• Published in: Journal of family medicine and primary care Vol. 9; no. 5; pp. 2375 - 2378
• Main Authors: Aljaber, Nouradden, Shanei, Shanei, Alshoabi, Sultan, Alsultan, Kamal, Gameraddin, Moawia, Al-Sayaghi, Khaled
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-05-2020; Medknow Publications and Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Angina pectoris; coronary artery disease; Coronary heart disease; Diseases; Heart attack; Medical research; Morbidity; Mortality; Original; Prognosis; risk groups; risk stratification; treadmill test; Unstable angina; Yemen; yemeni patients; Yemen; risk groups; risk stratification; Yemeni patients; Coronary artery disease; treadmill test
• ISSN: 2249-4863; 2278-7135
• DOI: 10.4103/jfmpc.jfmpc_1231_19

Background: Coronary artery disease (CAD) is a common medical problem that remains a great cause of morbidity and mortality. Based on clinical manifestation, CAD span from chronic stable angina to acute coronary syndrome (ACS), which encompasses (1) unstable angina (UA), (2) non-ST-elevation myocardial infarction (NSTEMI), and (3) ST-elevation myocardial infarction (STEMI). Objective: This study was conducted to describe the risk stratification and prognosis of CAD in Yemeni patients undergoing an exercise stress test. Method: A retrospective descriptive study involved the records of 302 patients who undergoing exercise stress testing by the Bruce protocol of Treadmill (TMT). Results: Out of 302 patients, the mean age was 43.29 years, (range, 22-70 years), and 79.80% were males. The majority of patients (86.75%) were normal. Most of the affected patients (82.50%) were males. All of the affected peoples were more than 30 years old with predominance in more than 50 years old. Results showed that 45% of the positive (+ve) patients were in high-risk group, and 55% were in intermediate and low-risk groups. Conclusions: CAD affects males more than females. It affects patients older than 30 years and predominates in elderly patients. Most of the affected patients were in the high, intermediate, and low-risk groups and rarely were in the very high-risk group.