Study of Electro Cardiography and Angiographic Profile of Ischemic Heart Disease Patients.
Background: Coronary artery disease (CAD), or ischemic heart disease (IHD), is a leading cause of morbidity and mortality worldwide, contributing significantly to early mortality in individuals aged 25 to 69 years. The pathophysiology of CAD includes the gradual formation of atherosclerotic plaques, which can lead to acute coronary syndromes (ACS) such as myocardial infarction (MI). Early diagnosis using non-invasive methods like electrocardiography (ECG) and definitive diagnosis using coronary angiography plays a crucial role in the management of CAD. Methods: This prospective observational study, conducted at KLE Hospital, Belgaum, aimed to assess the electrocardiographic and angiographic profiles of 50 patients (aged 50–75 years) diagnosed with stable ischemic heart disease. Clinical data, ECG findings (ST-segment changes, T-wave inversion, and Q waves), and angiographic data (severity of stenosis and vessel involvement) were collected over a 6-month period. Results: The study found that the highest number of patients (40%) were in the 60–69 years age group, with a male predominance (60%). Clinical presentation predominantly included stable angina (40%) and unstable angina (30%). ECG findings revealed 50% of patients with ST-segment elevation, 70% with T-wave inversion, and 40% with Q waves, indicating prior infarction. Angiographic findings showed that 40% had two-vessel disease, with 40% exhibiting 70–89% stenosis. A significant portion (70%) underwent stent placement, and 40% required coronary artery bypass graft (CABG) surgery. Conclusion: The study demonstrated a high prevalence of advanced coronary artery disease in patients with stable IHD, with a significant proportion requiring invasive interventions. ECG findings, such as ST-segment elevation and T-wave inversion, were consistent with the severity of coronary artery disease detected by coronary angiography. Early diagnostic intervention, including the use of ECG and coronary angiography, is essential for the appropriate management of ischemic heart disease