Factors associated with multitroncular coronary injury: Case-control study

Introduction The multivessel nature of a coronary lesion is a marker of high risk of death in myocardial infarction. The objective of that study was to determine the factors associated with this type of lesion during coronary artery disease. Methods We performed a retrospective case-control study for 39 months; from March 2014 to May 2017. Patients with at least one significant coronary lesion were included. Results Sixty-four patients were included. Signs suggestive of multivessel lesion were history of exercise angina (P = 0.037), dyspnea (P = 0.045), and right coronary involvement (P = 6.10–7). Four risk factors were incriminated: arterial hypertension (OR = 2.565[0,904–7,275]), diabetes (OR = 5.25[1,833–15,03]), dyslipidemia (OR = 5.25[1,7311–15,9224]) and resting heart rate > 80 per minute (OR = 2,9615[1,1043–7,9424]). Adjusted OR concluded that the first risk factor was diabetes. Conclusion The knowledge of the risk factors and the signs suggestive of a multivessel coronary lesion makes it possible to anticipate the severity of this type of lesion both preventive and curative.