000			03223cam a2200325 a 4500
003			EG-GiCUC
008			181014s2018 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.04.M.Sc.2018.Ab.B
100	0		_aAbdelnasir Mohamed Ali Elmasry
245	1	0	_aBurden of atherosclerosis incongenital coronary artery anomalies detected by MSCT coronary angiography / _cAbdelnasir Mohamed Ali Elmasry ; Supervised Azza Abdelmoniem Farrag , Sameh Mohamed Helmy Elkaffas , Heba Mostafa Kamel Eldeeb
246	1	5	_aعبئ الإصابة بمرض تصلب الشرايين في مرضى العيوب الخلقية بالشرايين التاجية المكتشفة بالأشعة المقطعية متعددة الشرائح على الشرايين التاجية
260			_aCairo : _bAbdelnasir Mohamed Ali Elmasry , _c2018
300			_a92 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520			_aBackground: Anomalous origin of the coronary artery is a rare congenitalcondition with an incidence ranging from0.17% in autopsy casesto 1.2% in angiographicalyevaluated cases. Nonfatal or fatal acute myocardialinfarction or sudden death can occur in such patients, most notably young athletes.Thus, it is of utmost importanceto detect these anomalies and differentiate them fromatherosclerotic coronary artery disease in patients with suspectedangina pectoris. Aim of the work:Evaluation ofburden of atherosclerosisin a group of patients with coronary artery anomalies referred for multi slice computed tomography coronary angiography (MSCT CA) and determining the extent of atherosclerotic coronary artery disease among these patients Methods: Angiographic data of 206 patients undergoing CT- CA from January November 2015 to June 2016were analyzed to determine presence of coronary artery anomalies. Gensini score and calcium score were calculated to detect prevalence of coronary artery disease. Results:We reviewed 2755 patients scheduled for MSCT-CA, out of which 16 (0.6%) had coronary anomalies. Mean age was 53.92 ± 8.34. malegender dominated our patients with congenital coronary artery anomalies .The most common coronary artery anomaly was origin (15, 93.75%) and the most common vessel affected was theRCA (9, 50%). Incidence of coronary artery disease in anomalous coronary patients was 56.25 % detected byGensini score while it is 25% in anomalous vessels. Conclusion:Prevalence of coronary artery anomalies in our study is0.6%. Incidence ofsevere coronary artery disease in anomalous vessels was 25 % detected by Gensini score.This suggestthat anomalous arteries are more prone to stenotic disease
530			_aIssued also as CD
653		4	_aAtherosclerosis
653		4	_aComputed tomography coronary angiography
653		4	_aCoronary artery anomalies
700	0		_aAzza Abdelmoniem Farrag , _eSupervisor
700	0		_aHeba Mostafa Kamel Eldeeb , _eSupervisor
700	0		_aSameh Mohamed Helmy Elkaffas , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c67963 _d67963