Spectrum of Coronary Artery Disease in Pilgrim Patients Visiting Tirumala Temple

The Tirumala Temple attracts millions of pilgrims annually. This study aimed to evaluate the clinical spectrum and profile of Coronary Artery Disease (CAD) among pilgrims admitted with cardiac ailments to a tertiary care centre near Tirumala. This single-centre, retrospective observational study was conducted at a tertiary care hospital in Tirupati from June 2023 to June 2025. A total of 267 pilgrim patients admitted with cardiac complaints were included. Data on demographics, cardiovascular risk factors, diagnoses, and management strategies were analysed. The mean age was 56.7 years, with male predominance (74.5%). Diabetes (55.1%) and hypertension (52.8%) were common risk factors. Acute Coronary Syndrome was the predominant diagnosis, with STEMI (59.1%) most frequent. Single Vessel Disease was common, with LAD involvement in 79.2%. PTCA was performed in 54.1%, and in-hospital mortality was 2.9%. Pilgrims visiting Tirumala represent a high-risk cardiac group. Pre-travel cardiac evaluation and early hospitalization are essential to improve outcomes.