Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo

Background: This research examines how coronary artery anomalies (CAAs) relate to myocardial ischemia based on a case study from the University Clinical Center of Kosovo (UCCK). We aim to improve clinical knowledge about CAAs, measure CAA occurrence within Kosovo's population, and identify risk...

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Main Authors: Rilind Sylaj, Jeton Shatri, Premtim Rashiti, Afrim Shabani, Aurora Bakalli, Shpend Elezi, Faik Asllani
Format: Article
Language:English
Published: International Medical Research and Development Corporation 2025-06-01
Series:International Journal of Biomedicine
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Online Access:http://www.ijbm.org/articles/i58/ijbm_15(2)_oa2.pdf
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author Rilind Sylaj
Jeton Shatri
Premtim Rashiti
Afrim Shabani
Aurora Bakalli
Shpend Elezi
Faik Asllani
author_facet Rilind Sylaj
Jeton Shatri
Premtim Rashiti
Afrim Shabani
Aurora Bakalli
Shpend Elezi
Faik Asllani
author_sort Rilind Sylaj
collection DOAJ
description Background: This research examines how coronary artery anomalies (CAAs) relate to myocardial ischemia based on a case study from the University Clinical Center of Kosovo (UCCK). We aim to improve clinical knowledge about CAAs, measure CAA occurrence within Kosovo's population, and identify risk factors leading to myocardial ischemia. Methods and Results: Data analysis of 44 patients aged 55 and older who received CAA diagnoses followed a retrospective cohort study design. The research examined four key aspects: patient demographic characteristics, clinical diagnoses, vessel disease classification, and electrocardiographic detection of myocardial ischemia. The sample analysis showed that males comprised 68.2% of participants and that the largest percentage of subjects fell within the 55-59 age group (31.8%). ST-elevation myocardial infarction (STEMI) was the most prevalent diagnosis at 45.5%, while half the patients presented multivessel disease. The research identified important connections between patient gender and smoking habits, on the one hand, and the incidence of STEMI diagnoses on the other. The analysis found no statistically significant connection between coronary artery anomalies and ischemic changes on electrocardiograms. Conclusion: The research advises implementing routine CAA screening in at-risk demographics. It suggests a multidisciplinary method for better diagnostic precision while recommending extensive multi-center research to confirm findings and investigate long-term effects.
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publishDate 2025-06-01
publisher International Medical Research and Development Corporation
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series International Journal of Biomedicine
spelling doaj-art-aa7d957f5c69404591b4133d963a0f512025-08-20T03:09:47ZengInternational Medical Research and Development CorporationInternational Journal of Biomedicine2158-05102158-05292025-06-0115227928410.21103/Article15(2)_OA2Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of KosovoRilind Sylaj0Jeton Shatri1Premtim Rashiti2Afrim Shabani3Aurora Bakalli4Shpend Elezi5Faik Asllani6Medical Faculty, University of Prishtina, Kosovo; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, KosovoMedical Faculty, University of Prishtina, Kosovo; Clinic of Radiology, University Clinical Center of Kosova, Pristina, KosovoMedical Faculty, University of Prishtina, Kosovo; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, KosovoMedical Faculty, University of Prishtina, Kosovo; Clinic of Ophthalmology, University Clinical Center of Kosova, Pristina, Kosovo; German Eye Clinic, Prishtina, KosovoMedical Faculty, University of Prishtina, Kosovo; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, KosovoMedical Faculty, University of Prishtina, Kosovo; Clinic of Cardiology, University Clinical Center of Kosova, Pristina, KosovoUniversity Clinical Center of Kosov0, Pristina, KosovoBackground: This research examines how coronary artery anomalies (CAAs) relate to myocardial ischemia based on a case study from the University Clinical Center of Kosovo (UCCK). We aim to improve clinical knowledge about CAAs, measure CAA occurrence within Kosovo's population, and identify risk factors leading to myocardial ischemia. Methods and Results: Data analysis of 44 patients aged 55 and older who received CAA diagnoses followed a retrospective cohort study design. The research examined four key aspects: patient demographic characteristics, clinical diagnoses, vessel disease classification, and electrocardiographic detection of myocardial ischemia. The sample analysis showed that males comprised 68.2% of participants and that the largest percentage of subjects fell within the 55-59 age group (31.8%). ST-elevation myocardial infarction (STEMI) was the most prevalent diagnosis at 45.5%, while half the patients presented multivessel disease. The research identified important connections between patient gender and smoking habits, on the one hand, and the incidence of STEMI diagnoses on the other. The analysis found no statistically significant connection between coronary artery anomalies and ischemic changes on electrocardiograms. Conclusion: The research advises implementing routine CAA screening in at-risk demographics. It suggests a multidisciplinary method for better diagnostic precision while recommending extensive multi-center research to confirm findings and investigate long-term effects.http://www.ijbm.org/articles/i58/ijbm_15(2)_oa2.pdfcoronary artery anomaliesmyocardial ischemiastemirisk factorecg
spellingShingle Rilind Sylaj
Jeton Shatri
Premtim Rashiti
Afrim Shabani
Aurora Bakalli
Shpend Elezi
Faik Asllani
Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
International Journal of Biomedicine
coronary artery anomalies
myocardial ischemia
stemi
risk factor
ecg
title Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
title_full Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
title_fullStr Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
title_full_unstemmed Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
title_short Investigation of Coronary Artery Anomalies and Myocardial Ischemia: A Case Study at the University Clinical Center of Kosovo
title_sort investigation of coronary artery anomalies and myocardial ischemia a case study at the university clinical center of kosovo
topic coronary artery anomalies
myocardial ischemia
stemi
risk factor
ecg
url http://www.ijbm.org/articles/i58/ijbm_15(2)_oa2.pdf
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