scholarly journals Cardiovascular Issues Among Homeless People: An Issue that Needs Attention

2020 ◽  
Vol 14 ◽  
pp. 117954682097503
Author(s):  
Muhammad Haisum Maqsood ◽  
Omer Kamal ◽  
David Charytan
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Delayed Diagnosis ◽  
Homeless People ◽  
Treatment Access ◽  
Disease Treatment ◽  
Future Directions ◽  
Cardiovascular Prognosis ◽  
High Prevalence ◽  
Common Causes

Cardiovascular disease is one of the most common causes of death with social factors increasingly recognized as determinants of cardiovascular prognosis. Homelessness, transient or chronic, may be one of the factors which predict treatment access and eventual outcomes as socially and economically disadvantaged group has high prevalence of cardiovascular risk factors such as smoking, and delayed diagnosis and poor control of other risk factors such as diabetes and hypertension. This perspective article aims to discuss the issues associated with cardiovascular disease treatment, outcomes and future directions for homeless patients.

scholarly journals High prevalence of risk factors for cardiovascular disease in parents of IDDM patients with albuminuria

Diabetologia ◽  
1997 ◽  
Vol 40 (10) ◽  
pp. 1191-1196 ◽  
Author(s):  
S. De Cosmo ◽  
S. Bacci ◽  
G. P. Piras ◽  
M. Cignarelli ◽  
G. Placentino ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
High Prevalence

scholarly journals Risk factors for cardiovascular disease among the homeless and in the general population of the city of Porto, Portugal

2012 ◽  
Vol 28 (8) ◽  
pp. 1517-1529 ◽  
Author(s):  
Luis de Pinho Oliveira ◽  
Maria Lurdes Pereira ◽  
Ana Azevedo ◽  
Nuno Lunet
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
General Population ◽  
Illicit Drug ◽  
Homeless People ◽  
Sample Group ◽  
Meal Programs ◽  
Mean Differences ◽  
The City ◽  
Prevalence Ratios

We described the distribution of risk factors for cardiovascular disease among homeless people living in the city of Porto, Portugal. Comparisons were made between subsamples of homeless people recruited in different settings and between the overall homeless sample group and a sample of the general population. All "houseless" individuals attending one of two homeless hostels or two institutions providing meal programs on specific days were invited to participate and were matched with subjects from the general population. We estimated sex, age and education-adjusted prevalence ratios or mean differences. The prevalence of previous illicit drug consumption and imprisonment was almost twice as high among the homeless from institutions providing meal programs. This group also showed lower mean systolic and diastolic blood pressure. Prevalence of smoking was almost 50% higher in the overall homeless group. Mean body mass index and waist circumference were also lower in the homeless group and its members were almost five times less likely to report dyslipidemia. Our findings contribute to defining priorities for interventions directed at this segment of society and to reducing inequalities in this extremely underprivileged population.

Cardiovascular Risk Factors in Mexican People Living with HIV Under Cart with a High Prevalence of Overweight

2021 ◽  
Author(s):  
FRANCISCO CARLOS LOPEZ MARQUEZ ◽  
Alberto Alejandro Miranda Perez ◽  
Domingo Pere ◽  
Arguiñe Ivonne Urraza Robledo ◽  
Maria Elena Gutiérrez Perez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Heart Disease ◽  
Cardiovascular Risk ◽  
People Living With Hiv ◽  
Anthropometric Measures ◽  
High Prevalence ◽  
History Of ◽  
Study Population ◽  
Living With Hiv

Abstract Objective: The aim of this study was to determine risk factors that increase cardiovascular risk and to estimate the cardiovascular risk at 5 and 10 years in overweight/obese in seropositive subjects undergoing cART from the of Northern Mexico Methods: This study included 186 PLWH under cART. The variables analyzed were were CD4+ count, viral load, lipid profile, glucose, insulin resistance, anthropometric measures, family history of hypertension and cardiovascular disease, years of treatment and cART scheme. In this study we analyzed the probable estimate of cardiovascular risk using the algorithmic models D: A: D (5-year period) and Framingham (10-year period). Results: In our study, 51.3% of the PLWH had arterial hypertension; most of the subjects were diagnosed with overweight, hypertriglyceridemia and metabolic syndrome, which are factors that increase the risk of cardiovascular disease. The evaluation of cardiovascular risk with the Framingham model, it is low and with the D model: A: D is moderate Conclusions: PLWH receiving cART present factors that potentiate the risk of early heart disease which are hypercholesterolemia, hypertriglyceridemia, smoking and age. The cardiovascular risk with the algorithmic models D: A:D and Framingham are low to moderate; however these latter results should be taken with caution since the study population is a young population, which will not allow us to establish an accurate cardiovascular risk. It is important to take into account other factors such as overweight or obesity, smoking or coinfections, in addition to years of exposure to cART, which could increase the rate of heart disease.

scholarly journals COVID-19 in Chronic Kidney Disease: The Impact of Old and Novel Cardiovascular Risk Factors

2021 ◽  
pp. 1-10
Author(s):  
Manuel Alfredo Podestà ◽  
Federica Valli ◽  
Andrea Galassi ◽  
Matthias A. Cassia ◽  
Paola Ciceri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Cardiovascular Events ◽  
Experimental Studies ◽  
Cardiovascular Complications ◽  
High Risk Population ◽  
High Prevalence ◽  
The Impact

Cardiovascular disease is a frequent complication and the most common cause of death in patients with CKD. Despite landmark medical advancements, mortality due to cardiovascular disease is still 20 times higher in CKD patients than in the general population, which is mainly due to the high prevalence of risk factors in this group. Indeed, in addition to traditional cardiovascular risk factors, CKD patients are exposed to nontraditional ones, which include metabolic, hormonal, and inflammatory alterations. The global severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has brought novel challenges for both cardiologists and nephrologists alike. Emerging evidence indicates that coronavirus disease 2019 (COVID-19) increases the risk of cardiovascular events and that several aspects of the disease may synergize with pre-existing cardiovascular risk factors in CKD patients. A better understanding of these mechanisms is pivotal for the prevention and treatment of cardiovascular events in this context, and we believe that additional clinical and experimental studies are needed to improve cardiovascular outcomes in CKD patients with COVID-19. In this review, we provide a summary of traditional and nontraditional cardiovascular risk factors in CKD patients, discussing their interaction with SARS-CoV-2 infection and focusing on CO­VID-19-related cardiovascular complications that may severely affect short- and long-term outcomes in this high-risk population.

scholarly journals Acanthosis nigricans, hyperinsulinaemia and risk factors for cardiovascular disease

2000 ◽  
Vol 6 (2-3) ◽  
pp. 416-424
Author(s):  
A. Bener ◽  
G. G. Lestringant ◽  
B. L. Nyomba ◽  
P. Frossard ◽  
H. Saadi
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Glucose Tolerance ◽  
United Arab Emirates ◽  
Acanthosis Nigricans ◽  
Glucose Tolerance Test ◽  
Density Lipoprotein ◽  
Tolerance Test ◽  
Abnormal Glucose Tolerance ◽  
High Prevalence

We examined the association between acanthosis nigricans, hyperinsulinaemia and other risk factors for cardiovascular disease in patients from the United Arab Emirates. Height, weight and sitting blood pressure were recorded in 122 patients with acanthosis nigricans, and blood samples were obtained for measuring fasting cholesterol, high-density lipoprotein cholesterol, triglyceride and uric acid levels. In addition, a glucose tolerance test was performed and blood was sampled for insulin and glucose. Our results indicate that the patients with acanthosis nigricans had a high prevalence of abnormal glucose tolerance and hyperinsulinaemia. In addition, euglycaemic patients with hyperinsulinaemia had a cluster of risk factors for cardiovascular disease

scholarly journals COVID-19 associated Mucormycosis (CAM): risk factors and mechanisms of disease

2021 ◽  
Author(s):  
Shivakumar Narayanan ◽  
Joel V Chua ◽  
John W Baddley
Keyword(s):  
Risk Factors ◽  
Immune Suppression ◽  
Indian Subcontinent ◽  
Delayed Diagnosis ◽  
Immune Dysregulation ◽  
High Background ◽  
Multiple Risk Factors ◽  
High Prevalence ◽  
Poor Outcomes

Abstract The severe surge of COVID-19 cases in the Indian subcontinent in early 2021 was marked by an unusually high number of cases of COVID-19 associated mucormycosis (CAM) reported during this period. This is significantly higher than predicted based on available data about prevalence or risk factors for this condition. This may be from an unusual alignment of multiple risk factors for this condition. There is high background prevalence of mucormycosis in India probably from high prevalence of risk factors, including undiagnosed or poorly controlled diabetes. COVID-19 induced immune dysregulation, and immune suppression from steroid therapy increase the risk. The role of environmental exposure is unclear. System factors like lack of access to healthcare during a pandemic may result in delayed diagnosis or suboptimal management with potentially poor outcomes. This is a review of currently identified risk factors and pathogenesis of CAM in a pandemic surge.

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