Morphological spectrum of atherosclerotic lesions in a tertiary care Institute in Punjab

Authors

DOI:

https://doi.org/10.3126/ajms.v10i1.21664

Keywords:

Atherosclerosis, Coronary artery, Risk factors, Plaque

Abstract

Background: The incidence of coronary artery disease (CAD) has risen considerably in developing world due to industrialization, urbanisation and lifestyle changes, especially among Indians and South Asians. The onset of CAD has been seen to occur at an early age and the severity of the disease and mortality associated with CAD has also increased. The pathology of atherosclerosis needs to be re-evaluated to develop targeted therapy which can contain the disease process at the earliest stage.

Aims and Objectives: Most of the morphological studies on atherosclerosis have been done on autopsy cases. In this study, we have analysed the morphological spectrum of atherosclerotic lesions in live patients.

Materials and Methods:  We retrospectively analysed the histopathology slides of 85 cases whose endarterectomy plaques were received in the Department of Pathology over a period of three and half years (January 2014 to June 2017) and classified the lesions according to Modified American Heart Association classification of atherosclerosis.

Results: The average age of patients was 60 years and male to female ratio of 4.3:1. Left anterior descending artery was the commonest vessel involved (52.4%). Majority of the cases had fibrocalcific plaques,followed by fibrous cap atheroma and calcified nodules.

Conclusion: Coronary artery plaques were found even in patients less than 40 years old.  Aggressive lipid defense therapy needs to be the cornerstone of management of CAD.

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Author Biographies

Rajiv Kumar Gupta, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Professor & Head, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Ruchita Tyagi, Pathology, DMC, Ludhiana, Punjab, India

Assistant Professor, Pathology, DMC, Ludhiana, Punjab, India

Vikrampal Singh, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Associate Professor, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Gurmeet Singh, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Sarju Ralhan, Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Cardiothoracic & Vascular surgery, Hero DMC Heart Institute, Tagore Nagar, Ludhiana- 141001. India

Pavneet Kaur Selhi, Professor, Pathology, DMC, Ludhiana, Punjab, India

Professor, Pathology, DMC, Ludhiana, Punjab, India

Bhavna Garg, Professor, Pathology, DMC, Ludhiana, Punjab, India

Professor, Pathology, DMC, Ludhiana, Punjab, India

Harpreet Kaur, Professor, Pathology, DMC, Ludhiana, Punjab, India

Professor, Pathology, DMC, Ludhiana, Punjab, India

Neena Sood, Pathology, DMC, Ludhiana, Punjab, India

Professor, & Head Pathology, DMC, Ludhiana, Punjab, India

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Published

2018-12-13

How to Cite

Gupta, R. K., Tyagi, R., Singh, V., Kapoor, S., Singh, G., Ralhan, S., Selhi, P. K., Garg, B., Kaur, H., Sood, N., Aslam, N., & Wander, G. S. (2018). Morphological spectrum of atherosclerotic lesions in a tertiary care Institute in Punjab. Asian Journal of Medical Sciences, 10(1), 19–24. https://doi.org/10.3126/ajms.v10i1.21664

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Section

Original Articles