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

Nouradden N Aljaber; Shanei A Shanei; Sultan Abdulwadoud Alshoabi; Kamal D Alsultan; Moawia B Gameraddin; Khaled M Al-Sayaghi

doi:10.4103/jfmpc.jfmpc_1231_19

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

J Family Med Prim Care. 2020 May 31;9(5):2375-2378. doi: 10.4103/jfmpc.jfmpc_1231_19. eCollection 2020 May.

Authors

Nouradden N Aljaber¹, Shanei A Shanei², Sultan Abdulwadoud Alshoabi³, Kamal D Alsultan³, Moawia B Gameraddin³, Khaled M Al-Sayaghi⁴

Affiliations

¹ Department of Medicine, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen.
² Cardiac Center, Althawra Modern General Hospital, (TMGH), Sana'a, Republic of Yemen.
³ Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.
⁴ College of Nursing, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.

Abstract

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.

Keywords: Coronary artery disease; Yemeni patients; risk groups; risk stratification; treadmill test.