cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2026-4656XDXEHCcardiovascular-4656Research ArticleСЕРДЕЧНО-СОСУДИСТЫЙ РИСКCARDIOVASCULAR RISK FACTORSРаспространенность эктазии коронарных артерий и связанные с ней факторы у пациентов, перенесших коронароангиографию: наблюдательное сравнительное аналитическое исследованиеCoronary Artery Ectasia prevalence and factors associated with ectasia in patients undergoing coronary angiography: An observational comparison analytic studyhttps://orcid.org/0000-0002-4162-9652NassirHayder Abdulateef ZghairNassirHayder Abdulateef Zghair

F.I.C.M.S., C.A.B.M (Cardio.), Associate Professor, Department of internal Medicine.

Al-Baradhyiah, Kornish St. 13, 61007, Basrah

yaalaalbairmany@gmail.comhttps://orcid.org/0009-0002-4593-7836MohammedAhmed Qasim IbrahimMohammedAhmed Qasim Ibrahim

Lecturer, Department of Medicine.

Manawi St. 20, 61009, Basrah

https://orcid.org/0009-0004-0437-4787SwaidHassan AbdulrazzaqSwaidHassan Abdulrazzaq

Lecturer, Department of Medicine.

Manawi St. 20, 61009, Basrah

College of Medicine, University of BasrahИракCollege of Medicine, University of BasrahIraqBasra Health DirectorateИракBasra Health DirectorateIraq20261508202625746564656Copyright © Nassir H.A., Mohammed A.Q., Swaid H.A., 20262026Nassir H.A., Mohammed A.Q., Swaid H.A.Nassir H.A., Mohammed A.I., Swaid H.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/4656Цель

Цель. Определить распространенность, факторы риска и распределение эктазии коронарных артерий (ЭКА).

Материал и методы

Материал и методы. Наблюдательное сравнительное аналитическое исследование было проведено в двух кардиологических центрах Ирака с февраля 2020 года по февраль 2021 года с участием 263 пациентов, перенесших коронароангиографию. Клинические данные и сердечно-сосудистые факторы были проанализированы с использованием логистической регрессии для выявления ассоциаций с ЭКА.

Результаты

Результаты. ЭКА была выявлена у 14,8% пациентов, что выше, чем сообщалось в аналогичных исследованиях в регионе. Значимыми факторами риска ЭКА были мужской пол, пожилой возраст, анамнез ишемической болезни сердца (ИБС), семейный анамнез ИБС, курение, сахарный диабет 2 типа, артериальная гипертензия и гиперхолестеринемия. Среди вовлеченных сосудов чаще всего поражалась правая коронарная артерия (ПКА), за ней следовали огибающая ветвь левой коронарной артерии и левая передняя нисходящая артерия.

Заключение

Заключение. Распространенность ЭКА среди населения Басры/ Ирака была выше, чем во многих других странах. ЭКА, по-видимому, является многофакторным состоянием, связанным с традиционными сердечно-сосудистыми факторами, при этом ПКА является наиболее часто поражаемым коронарным сосудом.

Aim

Aim. To determine the prevalence and risk factors of coronary artery ectasia (CAE), as well as the distribution of ectasia among the coronary vessels.

Material and methods

Material and methods. An observational comparison analytic study was conducted in two cardiac centers in Iraq from February 2020 to February 2021, involving 263 patients who underwent coronary angiography. Clinical data and cardiovascular factors were analyzed to identify associations with CAE using logistic regression.

Results

Results. CAE was detected in 14.8% of the patients, a prevalence higher than that reported in similar studies in the region. Significant risk factors for CAE included male sex, older age, history of ischemic heart disease (IHD), family history of IHD, smoking, diabetes mellitus type-II, arterial hypertension, and hypercholesterolemia. Among the affected vessels, the right coronary artery (RCA) was the most commonly involved, followed by the left circumflex artery (LCX) and left anterior descending artery (LAD).

Conclusion

Conclusion. The prevalence of CAE in the Basrah/Iraq population was higher than in many other countries. CAE appears to be a multifactorial condition caused by traditional cardiovascular factors, with the RCA being the most frequently affected coronary vessel.

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The authors declare that there are no conflicts of interest present.