DOI: 10.36347/sjmcr.2020.v08i02.006

Pages: 119-122

Multivessel coronary artery disease is usually defined by the presence of angiographic stenosis over 50% in at least two of the three epicardic coronary truncs. This multivessel lesion is associated with pejorative prognosis, particularly in case of proximal anterior interventricular artery (proximal LAD) stenosis and/or left ventricular dysfunction [1]. The aim of our study is to compare the epidemiological, clinical and angiographic particularities of multivessel coronary patients with single vessel patients in order to suggest the different predictive factors of coronary lesion diffusion and to identify high risk patients in need of special attention and new therapeutic strategies. We conducted a transversal and descriptive study on over 130 patients, between January 2016 to January 2017, at the catheterization laboratory in the cardiology and vascular diseases department of university hospital Mohamed 6 in Marrakech. The prevalence of multivessel coronary artery disease was 40%+/_4%. In a bivariate analysis only age, diabetes and smoking were predictive of multivessel lesions. A multidisciplinary approach resting on clinical and angiographic scores is actually the cornerstone in the decision-making process to provide medical management of multivessel coronary lesions.