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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparative Analysis Clinicoangiographic Patterns of Coronary Artery Disease in Smokers and Smokeless Tobacco Users

Hardik Pravinkumar Modi, Rajan Chaudhari, Karan Chaudhari and Parth Bharatkumar Patel
Page: 483-486 | Received 15 Mar 2024, Published online: 23 Apr 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.483.486

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Abstract

Smoking is widely recognized as a significant cardiovascular risk factor for coronary artery disease (CAD). However, its prevalence has been decreasing among the general population in recent decades due to enhanced public awareness and stricter legislation. The aim of this study was to compare the clinical and angiographic characteristics of CAD in individuals who smoke tobacco and those who use smokeless tobacco We assessed routine reports of patients, including fasting and postprandial blood sugar levels, lipid profiles, renal function tests and liver function tests. Our final study included 246 participants out of an initial pool of 378 patients. These individuals had a history of tobacco use, either in smokeless or smoked form, without additional cardiovascular risk factors. CAD presentations were categorized into clinical patterns such as chronic stable angina, unstable angina, non‐ST elevated myocardial infarction (NSTEMI) and ST elevated myocardial infarction (STEMI), based on their medical history, clinical evaluations and laboratory findings. Our findings indicated a significantly higher prevalence of female smokeless tobacco users compared to female smokers, with a p<0.05. Among smokers, STEMI was the most common presentation, followed by NSTEMI, unstable angina and chronic stable angina. Smokeless tobacco users demonstrated a lower prevalence of fatal CAD and multi‐vessel disease compared to smokers. A significant proportion of smokeless tobacco users presenting with angina or its equivalents have fatal coronary artery disease or multi‐vessel disease, emphasizing the cardiovascular risks associated with smokeless tobacco use.

How to cite this article:

Hardik Pravinkumar Modi, Rajan Chaudhari, Karan Chaudhari and Parth Bharatkumar Patel. A Comparative Analysis Clinicoangiographic Patterns of Coronary Artery Disease in Smokers and Smokeless Tobacco Users.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.483.486
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.483.486