A Two Year Autopsy Study on Coronary Artery Stenosis

Authors: Roy DD and Nigam M*

Volume 3, Issue 3

Abstract

Sudden cardiac death is a medicolegally challenging autopsy. One may wonder, why? Even as coronary artery disease is the reigning cause of sudden death throughout the world, it was found that most of the literature available has emphasized either on correlation between increasing coronary artery stenosis with increasing age or increased incidence of myocardial ischemia with increasing coronary artery stenosis. In the autopsies carried out in Sri Aurobindo Medical College & P.G.I, Indore, it has been found that there has been a shift of increasing incidence of coronary artery stenosis and myocardial ischemia in younger age groups [31-40 yrs]. Myocardial ischemia was present even when there was only 10-15% stenosis of the right coronary artery. It was also deduced that there has been an increasing incidence of coronary artery stenosis in thin to average built males while in obese people the coronaries were found to be fully patent establishing no significant correlation between body mass index and degree of coronary artery stenosis.

Keywords: Coronary Artery; Stenosis; Myocardial Ischemia; T.T.C Test; Young Male

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