Registry of Ischemic Heart Disease Patients in the Region of Mid Delta, Egypt Data Base and Quality Initiative Project

Abdelrahman Adel Taha Shone *

Tanta Health Insurance Hospital, Gharbia, Egypt.

Mohammed Ahmed Elbarbary

Tanta University, Gharbia, Egypt.

Suzan Bayoumy Elhefnawy

Tanta University, Gharbia, Egypt.

Mona Adel Elsaidy

Tanta University, Gharbia, Egypt.

*Author to whom correspondence should be addressed.


Background: Cardiovascular diseases are significant contributors to global increased mortality rates. coronary artery disease (CAD) is the most common cause of heart disease globally.

Aims: Detection of the characteristics [clinical, electrocardiographic, echocardiographic and coronary angiographic] of ischemic heart disease patients in Med Delta region in Egypt and also their management plan.

Methodology: The registry included 1000 patients of ischemic heart disease (IDH) at Med Delta Region. All patients underwent full medical history, full cardiac examination, detection of ECG changes, cardiac enzymes, other labs, Echocardiography and coronary angiography

Results: Out of 1000 patients studied 72.1% had chronic coronary syndromes and 27.9% had acute coronary syndrome. Seven hundreds and sixty-seven (76.7%) were known to have hypertension and 725 (72.5%) patients were smokers. left anterior descending artery (LAD) was diseased in 54.9 % of the patients. Single vessel disease was affected in 61.7%, 21.5% had double vessel disease and about 16.8 % had multi vessel disease.

Conclusion: Chronic coronary syndrome was the most common presentation in the studied patients with hypertension being the most prevalent risk factor and LAD was the mostly affected vessel.

Keywords: Registry, MID-DELTA, IHD

How to Cite

Shone , A. A. T., Elbarbary , M. A., Elhefnawy , S. B., & Elsaidy , M. A. (2023). Registry of Ischemic Heart Disease Patients in the Region of Mid Delta, Egypt Data Base and Quality Initiative Project. Cardiology and Angiology: An International Journal, 12(4), 269–279.


Kingma DP, Ba JL, Adam. A method for stochastic optimization. 3rd Int Conf Learn Represent ICLR 2015 - Conf Track Proc. 2015;(3):1–15.

Sood S, Kumar M, Pachori RB. et al. Application of empirical mode decomposition-based features for analysis of normal and CAD heart rate signals. J Mech Med Biol. 2016;(1):1-16.

Roth GA, Johnson C, Abajobir A. et al. Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015. J Am Coll Cardiol. 2017;(1):1–25.

World Health Organization .Cardiovascular diseases fact sheets; 2021. Available:

Nakahara T, Dweck MR, Narula N. et al. Coronary artery calcification: from mechanism to molecular imaging. JACC.Cardiovascular Imaging. 2017;(5):582–593.

Hajar R. Risk factors for coronary artery disease: Historical perspectives. HeartViews : the official journal of the Gulf Heart Association. 2017;(3):109–114.

Agatston AS, Janowitz WR, Hildner F. et al. Quantification of coronary artery calcium using ultrafast computed tomography. Journal of the American College of Cardiology.1990;(4):827–832.

Doll JA, Jones WS, Lokhnygina Y. et al. Prepared study: a study of shared decision-making for coronary artery disease. Circ Cardiovasc Qual Outcomes. 2019;12(2):005244.

Maddox TM, Ho PM, Roe M. et al. Utilization of secondary prevention therapies in patients with nonobstructive coronary artery disease identified during cardiac catheterization: insights from the National Cardiovascular Data Registry Cath-PCI Registry. Circ Cardiovasc Qual Outcomes. 2010;3(6):632–41.

Kinsara AJ, Najm HK, Al Anazi M. et al. Resting heart rate in patients with ischemic heart disease in Saudi Arabia and Egypt. J Saudi Hear Assoc. 2011;23(4):225–32.

Guo Y, Yin F, Fan C. et al. Gender difference in clinical outcomes of the patients with coronary artery disease after percutaneous coronary intervention: a systematic review and meta-analysis. Medicine (Baltimore). 2018;97(30).

Chiha J, Mitchell P, Gopinath B. et al. Gender differences in the prevalence of coronary artery tortuosity and its association with coronary artery disease. IJC Hear Vasc. 2017;14:23–7.

Carr MC. The emergence of the metabolic syndrome with menopause. The Journal of Clinical Endocrinology & Metabolism. 2003;88(6):2404-11.

Mudali S, Dobs AS, Ding J. et al,. Endogenous postmenopausal hormones and serum lipids: the atherosclerosis risk in communities study. The Journal of Clinical Endocrinology & Metabolism. 2005;90(2): 1202-9.

Ntalla I, Kanoni S, Zeng L. et al. Genetic risk score for coronary disease identifies predispositions to cardiovascular and noncardiovascular diseases. J Am Coll Cardiol. 2019;73(23):2932–42.

Ellaien A, Reda A, Elkersh A. The Pattern of Risk Factor Profile and Dutch Lipid Clinic Network Criteria of Familial Hypercholesterolemia in Egyptian Patients with Premature Coronary Heart Disease. 2021;1:331:146.

Zeitouni M, Clare RM, Chiswell K. et al. Risk factor burden and long-term prognosis of patients with premature coronary artery disease. J Am Heart Assoc. 2020;9(24):017712.

Bing R, Singh T, Dweck MR, Mills NL. et al. Validation of European Society of Cardiology pre-test probabilities for obstructive coronary artery disease in suspected stable angina. Eur Hear Journal-Quality Care Clin Outcomes. 2020;6(4):293–300.

Jacob Reeh, et al. Prediction of obstructive coronary artery disease and prognosis in patients with suspected stable angina. European Heart Journal. 2019; 7;40 (18):1426-35.

Reeh J, Therming CB, Heitmann M. et al. Prediction of obstructive coronary artery disease and prognosis in patients with suspected stable angina. European Heart Journal. 2019;40(18):1426-35.

Robson J, Ayerbe L, Mathur R. et al. Clinical value of chest pain presentation and prodromes on the assessment of cardiovascular disease: A cohort study. BMJ Open. 2015;5(4):e007251.

Mieres JH, Heller G V, Hendel RC. et al. Signs and symptoms of suspected myocardial ischemia in women: Results from the What is the Optimal Method for Ischemia Evaluation in WomeN? Trial. J Women’s Heal. 2011;20(9): 1261–8.

Simkhada R, Khan B, KC SS. et al. Angiographic Significance of ST Depression in Anterior Leads in Acute Inferior ST Elevation Myocardial Infarction. Nepal Hear J. 2021;18(2):7–10.

Moisi MI, Rus M, Bungau S. et al. Acute coronary syndromes in chronic kidney disease: clinical and therapeutic characteristics. Medicina (B Aires). 2020; 56(3):118.

Motloch LJ, Reda S, Larbig R. et al. Characteristics of coronary artery disease among patients with atrial fibrillation compared to patients with sinus rhythm. Hell J Cardiol. 2017;58(3):204–12.

El-Dosouky II& Abomandour HG. Fragmented QRS complex in acute coronary syndrome, does it have significance in the emergency room? A study from Egypt. J Indian Coll Cardiol. 2019;9(3):131.