Background: A retrospective study was performed to study the effect of polycythemia on the severity of coronary artery
occlusions and echocardiographic characteristics among acute coronary syndrome
(ACS) patients in Yemen. Methods:
Tow hundred and four (204) ACS patients in Yemen who underwent
coronary angiography were reviewed from January 2014 to December 2014. Results: The mean age of Polycythemia ACS patients was significantly lower than
normal hemoglobin patients (54.59 years vs. 57.08 years; p < 0.000).
The prevalence of hyperlipidaemia for Polycythemia ACS patients was
significantly higher (55.1% and 39.9%; p < 0.000).
Also the prevalence of history of coronary artery disease (CAD) for
Polycythemia ACS patients was significantly higher (21.3% vs.10.6%; p <
0.000). The prevalence of hypertension (HTN), diabetes mellitus (DM), and
tobacco smoking were comparable at both groups. Left ventricle ejection
fraction (LVEF) for Polycythemia ACS patients was significantly lower (47.9%
and 52.8%; adjust; p < 0.000). Normal coronary angiography for non-Polycythemia
ACS patients was non-significantly higher (9.6% vs. 7.6%). Single vessel
occlusion for non-Polycythemia patients was higher
(41.9% vs. 29.6%). Two vessel occlusions were comparable for patients at both
groups. Three vessel occlusions for Polycythemia ACS patients were
significantly higher (37.2% vs.23.6%). Conclusions: Acute coronary syndrome
occurs at a younger age for Polycythemia ACS patients. Polycythemia ACS patients
are also more likely to have hyperlipedaemia and history of CAD. Impaired LVEF
occurs more commonly in Polycythemia ACS patients. The ACS patients who have Polycythemia
were associated with more coronary arteries occlusions. Three vessel occlusion
and circumflex coronary artery occlusions occur more commonly among Polycythemia
ACS patients. We noted association between high percentages of hemoglobin and
coronary complications.
Cite this paper
Al-Huthi, M. A. and Jayed, D. (2016). Polycythemia and the Coronary Complications of Acute Coronary Syndrome Patients in Yemen. Open Access Library Journal, 3, e3093. doi: http://dx.doi.org/10.4236/oalib.1103093.
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