National Prevalence of Self-Reported Coronary Heart Disease and Chronic Stable Angina Pectoris: Factor Analysis of the Underlying Cardiometabolic Risk Factors in the SuRFNCD-2011

Global Heart ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. 73 ◽  
Author(s):  
Mehrshad Abbasi ◽  
Mohamadreza Neishaboury ◽  
Jalil Koohpayehzadeh ◽  
Koorosh Etemad ◽  
Alipasha Meysamie ◽  
...  
2021 ◽  
Vol 3 ◽  
Author(s):  
D.Yu. Gamayunov ◽  
◽  
V.A. Khaptanova ◽  
N.M. Balabina ◽  
A.N. Kalyagin ◽  
...  

This article provides a review of the literature on coronary heart disease, namely stable angina pectoris – one of the forms of chronic coronary heart disease. The role of CHD in mortality and disability of the population is considered. The literature review describes the etiology, risk factors, classification, pathogenetic nature of the disease, diagnostic methods, and also addresses issues of treatment and medical and labor expertise that are relevant today. The importance of subjective and objective methods of examination along with highly informative laboratory and instrumental methods currently being introduced is noted. A fundamental step towards eliminating risk factors is lifestyle modification. Of particular relevance is the issue of drug treatment of stable angina pectoris, the main purpose of which is to reduce the symptoms of angina pectoris and prevent cardiovascular complications. The article presents data from clinical studies examining the effectiveness of modern antianginal, antithrombotic, lipid-lowering therapy. The data on the possibility of using the valsartan and sacubitril complex in order to reduce the risk of hospitalization and death in the presence of symptomatic CHF (LVEF ≤ 35%) are presented.


2010 ◽  
Vol 67 (7) ◽  
pp. 537-542 ◽  
Author(s):  
Tatjana Ristic ◽  
Vidosava Djordjevic ◽  
Marina Deljanin-Ilic ◽  
Vladan Cosic ◽  
Slavica Kundalic

Background/Aim. Ischemic heart disease is mostly a consequence of atherosclerosis. Besides the inflammation, the Fas/Fas ligand (FasL)/caspase death pathway is documented to be activated in atherosclerotic lesions. The aim of this study was to compare the values of soluble forms of Fas and FasL in patients with different presentations of coronary disease and to correlate Fas/FasL with risk factors. Methods. We studied 30 patients with chronic stable angina pectoris (SAP), 27 with non-stable angina pectoris (NSAP), and 39 with acute ST-elevation myocardial infarction (STEMI) and 27 age-matched healthy volunteers (the control group). Serum Fas/APO1 and FasL concentrations were determined using a commercially available enzymelinked immunoassays (ELISA). Results. Fas/APO-1 levels in the STEMI patients (6.981 ? 2.689 ng/mL) were significantly higher than Fas levels in the controls (5.092 ? 1.252 ng/mL, p < 0.01), but not significantly higher than Fas values in the SAP (5.952 ? 2.069 ng/mL) and the USAP patients (5.627?2.270 ng/ml). Levels of FasL did not show any significant difference among the studied groups. In the SAP patients Fas/APO1 showed a significant positive correlation with high sensitivity C-reactive protein (hsCRP) (p < 0.05) and a negative correlation with high-density lipoprotein cholesterol (HDL-C) (p < 0.05), while FasL showed a significant positive correlation with low-density lipoprotein cholesterol (LDL-C) (p < 0.05). Fas levels between the patients having cholesterol within normal range and those whose cholesterol was above the normal range showed a significant difference (p < 0.05) only in the NSAP patients. Fas and FasL levels between the patients with hsCRP lower than 3.0 mg/L and those with hsCRP higher than 3.0 mg/L of the SAP group showed a significant differences (p < 0.001, p < 0.05, respectively). Strong correlation between Fas concentration and diabetes mellitus (p < 0.05) and FasL concentrations and both cholesterol (p < 0.01) and triglycerides (p < 0.01) in the NSAP patients was observed. The patients in the SAP group showed no strong correlation between Fas and FasL concentration and risk factors. Conclusions. The obtained results showed that apoptotic process is dysregulated in the patients with ischemic heart disease. Interdependence between Fas and FasL and inflammatory and lipid markers as well as with cardiovascular risk factors was established.


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