Mohammed Al-Kebsi*, Nouradden Al-Jaber, Abdul-Nasser Munibari, Amani Al-Awadi, Wafa Al-Kahtani.
Department of Cardiology, Cardiac center Al-Thawra University Hospital, Sana'a, Yemen
SUJMS • 2021 | Dec | Vol 15| Issue. (2)
Coronary artery disease (CAD) accounts for the utmost proportion of CVDs and is the main cause of mortality in the developed countries as well as in developing countries. Three-fourths of global deaths due to CAD occurred in the low and middle-income countries [3,4]. The major risk factors for coronary artery disease include hypertension, cigarette smoking, diabetes mellitus, elevated cholesterol levels, and obesity. The prevalence of those important risk factors varies greatly according to geographical region, sex, age and ethnic background.[5-7]. The variation in disease prevalence from region to another is likely a result of many non-traditional risk factors. Some investigators proposed considering khat chewing which is common habit among Yemenis as a risk factor for CAD as it was associated with a higher mortality rate and complications such as cardiogenic shock, heart failure, recurrent ischemia, and stroke despite a lower prevalence of cardiovascular risk factors, including diabetes mellitus and prior CVD [8-12].
To date there is no information available on the different aspects of ischemic heart disease in young patients in Yemen. In the present study we identify risk factors, mode of presentation, treatment and angiographic profile of CAD in younger ischemic heart disease patients.
Patients and Methods:The cardiac center in Al-Thawra hospital is the major referral center for cardiovascular diseases and surgeries in Yemen. Patients are referred for diagnostic coronary angiography from different cities as well as from other hospitals. Personal data, clinical examination, electrocardiography and echocardiography were documented on catheterization laboratory forms filled by either cardiologist or trained practitioner. The traditional cardiovascular risk factors (smoking, hypertension, Khat