Radiation Dose During Coronary Angiogram Relation to Body Mass Index》.pdf

ORIGINAL ARTICLE Heart, Lung and Circulation (2015) 24, 21–25 1443-9506/04/$36.00 /10.1016/j.hlc.2014.05.018 Radiation Dose During Coronary Angiogram: Relation to Body Mass Index a* b b c Ashish Shah , Paul Das , Eduardas Subkovas , Ashesh N. Buch , Michael Rees d, Christopher Bellamy b aDepartment of Cardiology, University Health Network, Toronto, Canada bDepartment of Cardiology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, UK cDepartment of Cardiology, East Carolina University, Greenville, NC, USA dDepartment of Cardiology, Ysybty Gwynedd, Betsi Cadwaladr University Health Board, UK Received 2 May 2014; received in revised form 25 May 2014; accepted 27 May 2014; online published-ahead-of-print 23 June 2014 Objective Ionising radiation based diagnostic and therapeutic cardiology and radiology procedures are very common in present day medical practice and are one of the largest medical sources of radiation to humans. The risk to health from radiation has been extensively documented. Obesity is becoming epidemic not only in the western world, but also in developing countries. In the present study we investigated if a patient’s Body Mass Index (BMI) has an effect on the radiation dose received by the patient and operator during diagnostic coronary angiography (CAG). Methods We analysed data of 3678 consecutive patients who underwent CAG from September 2007 to April 2010 in our cardiac catheter laboratory. Trans-radial access was used in 622 patients, whereas 3056 patients under-