CORONARY ARTERY DISEASE, IS IT MORE FREQUENTLY EFFECTING YOUNGER AGE GROUP AND WOMEN?

Abstract

Objective: Clinical audit for looking at the trend of coronary artery disease pattern in patients admitted to
Cardiology unit, Lady Reading Hospital, Peshawar over a decade duration.
Material and methods: Ten years data from1995 to 2004 was retrieved from the computerized database of
department of Cardiology, Lady Reading Hospital Peshawar. The data was analyzed yearly for total
admissions, deaths and, discharges due to coronary artery disease.
Results: Total admissions in Cardiology unit, Lady Reading Hospital Peshawar in1995 were 5865, which
increased to 8245 in 2004. Coronary artery disease patients in 1995 were 2053, which were 35% of the total
admission that increased to 3025 making 37% of the total admission in 2004. Women were 27 % of the total
CAD burden in 1995 that increased to 39 % in 2004. There is 50% increase of CAD in the female population.
Mean age of patients with CAD was 49.70 years in 1995 that decreased to 47.38 years in 2004. In 1995 AMI
occurred in 948 (16.16%) while in 2004 AMI were 1499(18.18%) of the total admission. The proportion of
female in AMI was 25% in 1995 that increased to 34% in 2004. Mortality from AMI in 1995 was 10.65%
while that in 2004 was 11.8%. In 1995 patients with unstable angina were 479(8.16%) compared to 883
(10.46%) in 2004. The mortality from CAD is almost static with 8.4% in 1995 and 8.7% in 2004.
Conclusion: There is significant increase in the frequency of CAD in the local population more so in the
female population with a similar mortality over a decade