Prevalence and Predictive Factors of Severe Coronary Lesions in Algerian Patients Undergoing Coronary Angiography

Background: The severity of coronary lesions in patients with artery disease (CAD) has important prognostic and therapeutic consequences. Clinical symptoms not always reflect the this study aimed to evaluate Algerian population where these data are scarce. Methods: It was a prospective cross-sectional conducted consecutive an age ≥20 years who underwent clinically-indicated angiography our center. objective determine prevalence severe assessed Gensini score. predictive factors were evaluated multivariate analysis. Results: A total 507 included (male, 79.7%; mean age, 58.8 years). Coronary prescribed most frequently for ST-segment elevation myocardial infarction (STMI) (46.9%) non-STMI (38.1%). 69.6% (95% CI 65.5 - 73.5). In analysis, independent male sex (odds ratio [OR] 2.00; p = 0.0141), diabetes (OR 1.92; 0.0070), left ventricular dysfunction 1.81; 0.0059), 1.72; 0.0297) no lipid-lowering treatment (OR, 0.47; 0.0388). Conclusions: Severe present two out three cohort undergoing angiography. Independent sex, diabetes, treatment. is identify at-risk patients, as they should be explored at asymptomatic stage before cardiovascular event receive prompt angioplasty or surgery.