scholarly journals HIV as a risk factor of coronary artery disease and of acute coronary syndrome

Cor et Vasa ◽  
2017 ◽  
Vol 59 (6) ◽  
pp. e553-e556
Author(s):  
Petra Kupková ◽  
Marcel Heczko ◽  
Vladimír Kaučák ◽  
Radim Kryza
2017 ◽  
Vol 69 (11) ◽  
pp. 254 ◽  
Author(s):  
Amar N. Patnaik ◽  
Pankajkumar A. Kasar ◽  
Raju V.R.C. Pusapati ◽  
K. Jagadishbabu ◽  
Naveenkrishna Kamana ◽  
...  

2017 ◽  
Vol 24 (01) ◽  
pp. 26-30
Author(s):  
Ahmed Zeeshan ◽  
Zaheer Ahmad ◽  
Ghulam Abbas Tahir ◽  
Yasir Yaqoob

Microalbuminuria is a strong and independent indicator of increased cardiovascularrisk among individuals with and without diabetes and hypertension. The pathophysiologicmechanism underlying the association between albumin excretion and cardiovascular disease(CVD) is that microalbuminuria can be a predictor of CVD risk as it reflects the vascular damagein kidneys. It also shows endothelial damage predicting CV disease risk. Based on this theory,periodic screening for microalbuminuria could allow early identification of vascular diseaseand help stratify overall cardiovascular risk, especially in patients with risk factors such ashypertension or diabetes. Therefore microalbuminuria can be used for stratification of risk forcardiovascular disease. Once microalbuminuria is present, cardiovascular risk factor reductionshould be aggressive. Objectives: The objective of the study was to determine the role ofmicroalbuminuria as an atherosclerotic risk factor and its association with coronary arterydisease. Study Design: Cross-sectional study. Duration of Study: Duration of study was6 months with first patient enrolled on 16-03-2007 and last patient enrolled on 15-09-2007.Setting: Medical Unit-III and CCU Allied Hospital, Faisalabad. Subjects: 300 patients withacute coronary syndrome, admitted in Allied hospital Faisalabad were enrolled. Methods: 300patients diagnosed as having acute coronary syndrome admitted in Allied hospital Faisalabad,were included in the study. Early morning urine as well as 24 hour urine had been collectedin sterilized urine bags and microalbuminuria was tested. Results: In this study 300 patientshaving acute coronary syndrome were enrolled. Microalbuminuria was positive in 66 (22%)patients and 234 (78%) patients had no microalbuminuria. There was significant associationbetween microalbuminuria and atherosclerotic coronary artery disease. Conclusion: It isconcluded that microalbuminuria is an atherosclerotic risk factor and it is strongly associatedwith coronary artery disease.


2013 ◽  
Vol 11 (1) ◽  
pp. 4-8 ◽  
Author(s):  
Ajay Rajbhandari ◽  
Dipendra Raj Pandeya ◽  
Madhur Dev Bhattarai ◽  
Ravi Malla

Introduction: Diabetes Mellitus is a potent risk factor for Coronary Artery Diseases, but Impaired Glucose Tolerance is increasingly known risk factor for Coronary Artery Diseases. The aim of this study was to correlate blood glucose level in the patients with Coronary Artery Diseases with Acute Coronary Syndrome and to determine the relati onship of other risk factors. Methods: This was a cross-secti onal prospecti ve study of consecutive patients admitted in coronary care unit of Bir Hospital and Shaid Gangalal National Heart Center, with diagnosis of Acute Coronary Syndrome. Results: Total 209 patients were enrolled. 90.9% (190) had dyslipidemia, 78.5% were smokers with mean Standard Deviation of duration of smoking were 25.35 years. Abnormal waist to hip ratio in male and female are 56.3% and 76.1% respectively. 14.4 % (30) had Random Blood Glucose > 200mg%, 17.2 % had Impaired Fasting Glucose (110-126 mg% World Health Organizati on); 34.4% had Impaired Fasting Glucose (100-126 mg% American Diabeti c Associati on) 28.2% had Impaired Glucose Tolerance (postprandial blood glucose 140-200mg %).19.1% were old diabetes, 21.3% had recent diabetes mellitus, 52.7% had impaired glycemia.93.1% of total patients had Glucose Intolerance of any form. Conclusions: Almost all patients had diabetic or glucose intolerance of any form prior to coronary artery disease with acute coronary syndrome. This study consisted with Asian criteria of body mass index and Waist circumference for overweight or obesity. Medical Journal of Shree Birendra Hospital; Jan-June 2012/vol.11/Issue1/4-8 DOI: http://dx.doi.org/10.3126/mjsbh.v11i1.7758


2003 ◽  
Vol 2 (2) ◽  
pp. 39-42
Author(s):  
Man Bahadur KC

Coronary Artery disease is emerging as a growing epidemic in whole of the South Asia region. South Asians are genatically most predisposed people to Coronary Artery disease. In this background of genetic predisposition to Coronary Artery disease and changes in life style, which increases the vulnerability to acquire this disease, many Nepalese people are getting Coronary Artery disease with increasing number every year.


2020 ◽  
Vol 11 (5) ◽  
pp. 49-53
Author(s):  
Archana Bhat ◽  
Arunachalam Ramachandran ◽  
Pradeep Periera ◽  
Akshatha Rao Aroor

Background: Vitamin D, a fat-soluble vitamin has its receptor present in myriad of tissues and it modulates multiple cellular processes. Vitamin D deficiency is reported to be associated with coronary artery disease. Cardiovascular disease is the leading cause of mortality worldwide. Aims and Objective: The primary outcome was to investigate if there is a correlation of 25-OH levels with the percentage of luminal stenosis, as measured with coronary angiogram. The secondary outcome was to determine the differences in angiographically proven luminal stenosis across categories of 25-OH vitamin D levels. Materials and Methods: Thirty patients with acute coronary syndrome with diabetes mellitus were included in this cross-sectional descriptive study. All patients were tested for fasting vitamin D levels, fasting blood sugar, HbA1C and serum creatinine. Detailed history of the patients was recorded. Data was analyzed by the statistical software SPSS version 19 and p value <0.05 was considered significant. Statistical tests like Chi- square, independent t test and log regression was used. Results: In this study 30 patients undergoing coronary angiography for acute coronary syndrome, Vitamin D levels showed severe deficiency in 6.7% (2) cases while mild deficiency was seen in 50% of the cases. Patients with single vessel disease on the coronary angiogram had lower mean HbA1C (9.18) levels in our study. Patients with triple vessel disease had poorly controlled mean HbA1C levels (10.42). Conclusion: In this study we did not find any significant difference between the serum Vitamin D deficiency levels with patients with angiographic severity of the coronary artery disease. Patients with poorly controlled diabetes mellitus had more severe angiographic proven coronary artery disease.


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