Abstract
Background
There is no available data on normal coronary artery size in the Indian population. We attempted to establish a database for normal dimensions of the coronary artery segments during life by using quantitative coronary angiography and compared these with Western estimates of coronary artery size.
Material and Methods
Between december 2003 and June 2004, 94 patients who underwent quantitative coronary angiography for evaluation of symptoms of ischemic heart disease and were found to have no coronary artery disease form the sample size.
Results
The dimensions of branches in the left coronary system in our patients were less and those of the distal circumflex, and the proximal and distal left anterior descending coronary arteries were significantly greater than those of Indian Asians living in the United Kingdom and the native Caucasians but the dimensions of the right coronary artery were significantly greater in our patients.
Conclusions
Coronary artery dimensions for at least some branches of the left coronary system are similar to that reported in the West and the dimensions of the right coronary are greater. These findings contradict the general perception that Indians have smaller coronary arteries.
Similar content being viewed by others
References
Hermiller JB, Cusma JT, Spero LA, Fortin DF, Harding MB, Bashore TM. Quantitative and qualitative coronary angiographic analysis: review of methods, utility, and limitations. Cathet Cardiovasc Diagn 1992; 25: 110–31.
MacAlpin RN, Abbasi AS, Grollman JH Jr, Eber L. Human coronary artery size during life. A Cinearteriographic Study. Radiology 1973; 108: 567–76.
Ratib OM, Mankovich NJ. Quantitative coronary arteriography: design and validation. Radiology 1988; 167: 743–47.
Dhawan J, Bray CL. Are Asian coronary arteries smaller than Caucasian? A study on angiographic coronary artery size estimation during life. Int J Cardiol 1995; 49: 267–69.
Brown BG, Bolson EL, Dodge HT. Quantitative computer techniques for analyzing coronary arteriograms. Prog Cardiovasc Dis 1986; 18: 403–18.
Mancini GBJ. Quantitative and qualitative coronary angiographic analysis: Development of methods, limitations and clinical applications. Am J Card Imag 1988; 2: 98–109
Haase J, Nugteren SK, Montauban van Swijndregt E, Slager CJ, Di Mario C, de Feyter PJ, Serruys PW. Digital geometric measurements in comparison to cinefilm analysis of coronary artery dimensions. Cathet Cardiovasc Diagn 1993; 28: 283–90.
Lip GY, Rathore VS, Katira R, Watson RD, Singh SP. Do Indo-Asians have smaller coronary arteries?. Postgrad Med J 1999; 75: 463–66.
Restrepo C, Eggen DA, Guzman MA, Tejada C. Postmortem dimensions of the coronary arteries in different geographic locations. Lab Invest 1973; 28: 244–51.
Lewis CM, Dagenais GR, Riesinger GC, Ross RS. Coronary arteriographic appearances in patients with left bundle branch block. Circulation 1970; 41: 299–307
Hutchins GM, Bulkley BH, Miner MM, Boitnott JK. Correlation of age and heart weight with tortuosity and caliber of normal human coronary arteries. Am Heart J 1977; 94: 196–202.
Wilsens SL, Plair CM, Henderson D. Size of the major epicardial coronary arteries at necropsy: Relation to age, weight and myocardial infarction. JAMA 1966; 198: 1325–29.
Dodge TJ Jr., Brown GB, Bolson EL, Dodge HT. Lumen diameter of Normal Human Coronary Arteries-Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation. Circulation 1992; 86: 232–45.
Leung WH, Stadius ML, Alderman EL. Determinants of Normal Coronary Artery Dimensions in Humans. Circulation 1991; 84: 2294–2305.
Dhawan J, Bray CL. Angiographic comparison of coronary artery disease between Asians and Caucasians. Postgrad Med J 1994; 70: 625–30.
Brown BG, Bolson EL, Frimer M, Dodge HT. Quantitative Coronary Angiography. Circulation 1977; 55: 329–37
Scoblionko DP, Brown GB, Mitten S, Caldwell JH, Kennedy WJ, Bolson EL, Dodge HT. A new digital electronic caliper for measurement of coronary arterial stenosis: Comparison with visual estimates and computer assisted measurements. Am J Card 1984; 53: 689–93.
Vogel RA. The radiographic assessment of coronary blood flow parameters. Circulation 1985; 72: 460–65.
Rensing BJ, Hermans WRM, Deckers JW, Feyter P de, Tijssen JGP, Serruys PW. Lumen narrowing after percutaneous transluminal coronary balloon angioplasty follows a near Gaussian distribution: A quantiative angiographic study in 1,445 successfully dilated lesions. J Am coll Cardiol 1992; 19: 939–45.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Saikrishna, C., Talwar, S., Gulati, G. et al. Normal coronary artery dimensions in Indians. Indian J Thorac Cardiovasc Surg 22, 159–164 (2006). https://doi.org/10.1007/s12055-006-0750-2
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s12055-006-0750-2