Evaluating the Incidence of Anemia in Individuals Diagnosed with Acute Coronary Artery Disease and Undergoing Coronary Angiography

Dr. Amer Mohammed Al-Taie (1)
(1) A.M. PhD, Adult Nursing, Department of Nursing, Alsafwa University College, Karbala , Iraq

Abstract

Objective: Assessing anaemia in patients with acute myocardial infarction (AMI) undergoing coronary angiography was the goal of this investigation.


Methods: Seventy patients with acute myocardial infarction were purposefully selected and then admitted to the medical ward at Karbala hospitals for diagnostic angiography and heart surgery. World Health Organisation guidelines (haemoglobin level <13 g/dl for men and <12 g/dl for women) were used to define anaemia. Thirty-five individuals with anaemia and thirty-five patients without anaemia made up the study population.


Results: Results showed that two blocked vessels were present in 24.0% of patients without anaemia and 36.0% of patients with anaemia. In individuals with anaemia, the study also revealed a marked rise in the prevalence of multi-vessel disease and diabetes mellitus. Conclusions: In patients with AMI undergoing coronary angiography, anaemia at baseline is prevalent and closely linked to negative outcomes and a higher incidence risk of multi-vessel disease..


Recommendation: The study suggests creating and implementing educational initiatives that highlight anaemia symptoms and the value of early presentation.   

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References

Christopher B., Arant, Timothy R. Wessel. "Hemoglobin Level Is an Independent Predictor for Adverse Cardiovascular Outcomes in Women Undergoing Evaluation for Chest Pain." Journal of the American College of Cardiology, 2004; Vol. 43, No. 11: pp. 2009-2014.

Werner GS, Gitt AK, Zeymer U, Juenger C, Towae F, Wienbergen H, Senges J. "Chronic Total Occlusions in Patients with Stable Angina Pectoris: Impact on the Therapy and Outcome in Present Day Clinical Practice." Clinical Research in Cardiology, 2009; 98: 453-461.

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Nutritional anaemias. Report of a WHO scientific group. World Health Organization Technical Report Series, 1968; 405: 5-37.

Sabatine MS, Morrow DA, Giugliano RP, et al. "Association of Hemoglobin Levels with Clinical Outcomes in Acute Coronary Syndromes." Circulation, 2005; 111: 2042-2049.

Wojciech W, James C, Wojciech W. "Effect of Anemia on Clinical Outcomes in Patients with Coronary Artery Disease Treated with Percutaneous Coronary Intervention." Postępy Kardiologii Interwencyjnej (Advances in Interventional Cardiology), 2012; 8(4): 293-296.

Levy PS, Quigley RL, Gould SA. "Acute Dilutional Anemia and Critical Left Anterior Descending Coronary Artery Stenosis Impairs End Organ Oxygen Delivery." Journal of Trauma, 1996; 41: 416–423.

Mak KH, Moliterno DJ, Granger CB, et al. "Influence of Diabetes Mellitus on Clinical Outcome in the Thrombolytic Era of Acute Myocardial Infarction." Journal of the American College of Cardiology, 1997; 30: 171–179.

Kurek T, Lenarczyk R, Kowalczyk J, et al. "Effect of Anemia in High-Risk Groups of Patients with Acute Myocardial Infarction Treated with Percutaneous Coronary Intervention." The American Journal of Cardiology, 2010; 105(5): 611-618.

Naccarella F, Lepera G, Rolli A. "Arrhythmic Risk Stratification of Post-Myocardial Infarction Patients." Current Opinion in Cardiology, 2000; 15: 1–6.

Christopher B., Arant, Timothy R. Wessel. "Hemoglobin Level Is an Independent Predictor for Adverse Cardiovascular Outcomes in Women Undergoing Evaluation for Chest Pain." Journal of the American College of Cardiology, 2004; Vol. 43, No. 11: pp. 2009-2014.

Werner GS, Gitt AK, Zeymer U, Juenger C, Towae F, Wienbergen H, Senges J. "Chronic Total Occlusions in Patients with Stable Angina Pectoris: Impact on the Therapy and Outcome in Present Day Clinical Practice." Clinical Research in Cardiology, 2009; 98: 453-461.

Galla JM, Whitlow PL. "Coronary Chronic Total Occlusion." Cardiology Clinics, 2010; 28: 71-79.

Nutritional anaemias. Report of a WHO scientific group. World Health Organization Technical Report Series, 1968; 405: 5-37.

Sabatine MS, Morrow DA, Giugliano RP, et al. "Association of Hemoglobin Levels with Clinical Outcomes in Acute Coronary Syndromes." Circulation, 2005; 111: 2042-2049.

Wojciech W, James C, Wojciech W. "Effect of Anemia on Clinical Outcomes in Patients with Coronary Artery Disease Treated with Percutaneous Coronary Intervention." Postępy Kardiologii Interwencyjnej (Advances in Interventional Cardiology), 2012; 8(4): 293-296.

Levy PS, Quigley RL, Gould SA. "Acute Dilutional Anemia and Critical Left Anterior Descending Coronary Artery Stenosis Impairs End Organ Oxygen Delivery." Journal of Trauma, 1996; 41: 416–423.

Mak KH, Moliterno DJ, Granger CB, et al. "Influence of Diabetes Mellitus on Clinical Outcome in the Thrombolytic Era of Acute Myocardial Infarction." Journal of the American College of Cardiology, 1997; 30: 171–179.

Kurek T, Lenarczyk R, Kowalczyk J, et al. "Effect of Anemia in High-Risk Groups of Patients with Acute Myocardial Infarction Treated with Percutaneous Coronary Intervention." The American Journal of Cardiology, 2010; 105(5): 611-618.

Naccarella F, Lepera G, Rolli A. "Arrhythmic Risk Stratification of Post-Myocardial Infarction Patients." Current Opinion in Cardiology, 2000; 15: 1–6

Authors

Dr. Amer Mohammed Al-Taie
Al-Taie, D. A. M. (2025). Evaluating the Incidence of Anemia in Individuals Diagnosed with Acute Coronary Artery Disease and Undergoing Coronary Angiography. Journal of Current Medical Research and Opinion, 8(01), 3859–3865. https://doi.org/10.52845/CMRO/2025/8-1-5

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