291840

Assessment of CoronaryAtherosclerotic Plaque Characteristics by Computed Tomographic Angiography in Smokers Compared to Non-smokers

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Medical and Health Science.

Abstract

Background:Smoking and passive smoking have been identified as variable risk factors for AMI and CAD,smoking plays a major role in premature coronary atherosclerosis and in accelerating atherosclerosisby increasing the oxidation of LDL and damaging coronary endothelial vasodilation. The purpose of this study is toassess coronary atheroscleroticplaque characteristics including (site, extent, nature and length)by computed tomographic angiography in smokers compared to non-smokers.. Methods:This cross sectional, single center study was conducted at atkobri El koba military hospital during the period from December 2019 to July 2021This study included 200 male patients withsuspectedCAD scheduled for coronary CT angiography. They were divided into two equal groups. The first group included smokers and the second group included non-smokers. Results: The smokers' grouphad a significantly higher prevalence of CADcompared to non-smokers' group.There was no significant statistical difference between the two groups regarding number of affected vessel if it was single or multiple vessels.Middle RCA, Left Main artery, Proximal LAD and Mid LAD were more affected among smokers). Comparison of thenature of obstruction showed that therate of obstruction was higher among smokers, as well calcific plaques were the most prevalent type among smokers, however it was more common in non-smokers.Conclusion:Compared to the non-smokers, smokers had a considerably greater prevalence of CAD in our research. The severity of coronary blockage was greater in smokers than in nonsmokers. CCTA is a potential non-invasive method that may detect coronary artery stenosis and rule out coronary artery disease, as well as evaluate the features of atherosclerotic plaques.

DOI

10.21608/bjas.2023.195610.1091

Keywords

coronary atherosclerosis, Computed Tomography and Smoking

Authors

First Name

Mariam

Last Name

Beshay

MiddleName

Samir

Affiliation

مرزوق شكري متفرع من سيدي عمار العمرانيه الشرقيه

Email

mariam.samir712@gmail.com

City

جيزه

Orcid

-

First Name

Tarek

Last Name

H.Abo Elazm

MiddleName

-

Affiliation

Cardiology Dept., Fac.,of Medicine, Benha Univ., Benha, Egypt

Email

tarekaboelazm15@gmail.com

City

-

Orcid

-

First Name

Neama

Last Name

A.El.Meligy

MiddleName

-

Affiliation

Cardiology Dept., Fac.,of Medicine, Benha Univ., Benha, Egypt

Email

neamaali2@gmail.com

City

-

Orcid

-

First Name

Bassem

Last Name

M.Abdelhamid

MiddleName

-

Affiliation

Cardiology Dept., Fac.,of Medicine, Benha Univ., Benha, Egypt

Email

bassemmohamed@gmail.com

City

-

Orcid

-

First Name

Al-Shimaa

Last Name

M.Sabry

MiddleName

-

Affiliation

Cardiology Dept., Fac.,of Medicine, Benha Univ., Benha, Egypt

Email

al.shimaamohammed@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

3

Related Issue

41778

Issue Date

2023-03-01

Receive Date

2023-01-07

Publish Date

2023-03-19

Page Start

62

Page End

66

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_291840.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=291840

Order

10

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Assessment of CoronaryAtherosclerotic Plaque Characteristics by Computed Tomographic Angiography in Smokers Compared to Non-smokers

Details

Type

Article

Created At

28 Dec 2024