Abstract

Aim: This is a retrospective observational study from one institution. Between January 2011 and December 2017, it was observed that nearly all patients undergoing valve surgery for Rheumatic Heart Disease had normal coronaries. Through this study, we aim to identify the relationship between Rheumatic heart disease and Coronary Artery Disease. Patients and methods: One hundred and seventy two patients with confirmed Rheumatic heart disease (Group A) were included in the study. All patients underwent coronary angiography. Significant coronary artery disease of any major coronary artery or branch was noted. Between January 2017 and December 2017, 710 patients (Group B) undergoing coronary angiography for suspected/symptomatic coronary artery disease were included as controls and compared to Group A patients. In group A the mean age of patients was 58.17 years. In-group B the mean age of patients was 59.4 years. Risk factors for coronary artery disease were comparable between both the groups. Significant coronary artery disease was observed in 12 (6.98%) patients in group A, and 550 (77.46%) patients in group B. This difference was statistically significant (p lt;0.0001).