Risk Factors in Ischemic Heart Disease: Comparison between Disturbance in Serum Lipid Profile and Total Homocysteine in Old Myocardial Infarction

2007 ◽  
Vol 27 (2) ◽  
pp. 63-72
Author(s):  
Mohamed Abd-Elmoaty ◽  
Ahmed Bogdady ◽  
Mervat Attia ◽  
Lotfy Abo-Dahab ◽  
Ali Kassem
2020 ◽  
Author(s):  
Kamal Khademvatani ◽  
Amin Sedokani ◽  
Sima Masudi ◽  
Parisa Nejati ◽  
Mir Hossein Seyed-Mohammadzad ◽  
...  

AbstractAimMyocardial infarction (MI) is one of the most important cardiovascular diseases. A trigger is an external stimulus, potential to create a pathological change leading to a clinical event. In addition to classic risk factors of ischemic heart disease and myocardial infarction, MI triggers play critical roles in the incidence of acute MI.Methods and ResultsThis is a cross-sectional study of 254 patients with the first acute myocardial infarction referring to Seyedoshohada heart center of Urmia, Iran were enrolled in the study within one year of study. After 48h of hospitalization and, treatment, and cardiac caring, the patients were provided with the questionnaire to collecting the history of the disease ad triggers. In addition to laboratory and paraclinical data, the analysis of the study was performed. Out of 220 (86.4%) patients with STEMI and 34 (13.6%) patients with NSTEMI, there were significant differences (P-value <0.05) in AMI triggers with LVEF (0.03), gender (0.027), residency and living area (0.039), occupation (0.002), smoking (0.008), abnormal serum TG levels (0.018) and the season of AMI occurrence (0.013). The mean age for AMI patients was 60.4±12.97 years old with a mean BMI of 26.65±4.35 kg/m2.ConclusionIn addition to classic risk factors of ischemic heart disease and myocardial infarction, health care systems and physicians must pay more attention to triggers that may induce an acute myocardial infarction in people with predisposing factors especially in the male sex, stressful and hand working jobs, and psychological and mental tension patients.


2020 ◽  
Vol 14 (2) ◽  
pp. 1-8
Author(s):  
Piotr Jerzy Gurowiec

Background: Coronary heart disease is one of the most common causes of hospitalization and premature deaths in Europe. ST segment elevation myocardial infarction (STEMI) has been a clinical problem for many years, particularly in the aspect of choosing the optimal treatment method. The success of treatment is determined by many factors, including: risk factors for ischemic heart disease, time between onset of symptoms and initiation of treatment, number and degree of coronary stenosis, and many more. Aim of the study: The aim of the study was to identify risk factors for ischemic heart disease affecting the success of STEMI patients treated with percutaneous coronary intervention (PCI). Material and method: The applied research method was a retrospective analysis of medical records of patients treated in the Department of Acute Coronary Syndromes of St Hedvig Provincial Hospital No. 2 in Rzeszow in 2009-2014. The research tool used in this paper was the author's questionnaire. A retrospective study included a total of 508 patients with STEMI myocardial infarction treated in the Department of Acute Coronary Syndromes (ACS) in 2009-2013. The inclusion criteria were the complete and clear files of patient treatment in the ACS department in 2009-2013 due to acute coronary syndrome treated invasively by the PCI method. Results: Hypertension dominated in the study group of patients - 334 subjects (65.7%). The most commonly found risk factors for ischemic heart disease were: dyslipidemia - 176 subjects (34.6%) and smoking - 163 (32.1%). This paper presents the results of the analysis of the success of treatment in relation to risk factors for ischemic heart disease. There was a statistically significant relation of hypertension with successful treatment. The success of treatment in the group of patients diagnosed with hypertension was p = 0.0425. More cases in which treatment was unsuccessful were observed in the group of patients who had no previous treatment for lipid disorders (20.2% vs 4.0%) (p = 0.0000). Significantly more cases of treatment failure were found among people who denied smoking (17.4% vs 8.6%). P value = 0.0087. Conclusions: Among the analyzed behavioral and somatic risk factors for failure in patients subjected to treatment were: untreated hypertension, hyperlipidemia and a negative history of cigarette smoking


2002 ◽  
Vol 78 (4) ◽  
pp. 392-395 ◽  
Author(s):  
Waldomiro Carlos Manfroi ◽  
Carolina Peukert ◽  
Clarissa Bacha Berti ◽  
Clarissa Noer ◽  
Danielle de Ávila Gutierres ◽  
...  

2021 ◽  
pp. 1-3
Author(s):  
Rekha G ◽  
Rajdeepak V S ◽  
Satish L

INTRODUCTION: Menopause is a normal, natural event, defined as the final menstrual period (FMP). Women now spend one third to one half of their lives after menopause. Women who underwent natural menopause before age 45 years had an increased risk of thyroid dysfunction, diabetes, hypertension, obesity and dyslipidemia which are considered as risk factors for ischemic heart disease. METHODOLOGY: 50 early menopausal women attending the outpatient and inpatient departments of DR.B.R. Ambedkar Medical College and Hospital, were randomly included in this study. All the patients are subjected to detailed history regarding demographic data, general physical examination (including vitals, weight, height, BMI). Investigations like Thyroid profile (T3,T4,TSH), Fasting Lipid Profile, ECG were done. RESULTS: Study patients were found to be in 40-70 years age group, with maximum number of patients in 40-50 years group. Mean age of menopause is 42.34±1.92. Among the studied population 27(54%) patients had thyroid dysfunction. All 27 patients had hypothyroidism, 3(13%) patients had subclinical hypothyroidism upon evaluation and rest of the patients were euthyroid. TSH was found to be higher 6.50±4.87 among the studied patients and was found to be statistically associated with thyroid disorders. In studied subjects 19(38%) had dyslipidemia, 1 patient had borderline and rest 30 patients had normal lipid profile. 17(34%) of studied patients had ischemic heart disease. Among the 17 patients having IHD, 10(58.82%) patients were hypothyroid, 15(88.23%) patients had hypertension and 10 (52.63%) had dyslipidemia. Amongst the studied subjects 33(66%) patients were overweight and 9(18%) patients were obese according to BMI. CONCLUSION: Significant number of early menopausal women in this study have hypertension, thyroid dysfunction, dyslipidemia and high BMI which are considered as risk factors for coronary artery disease. Hence screening can be recommended for early menopausal women for thyroid dysfunction, especially in those with increasing age , duration of menopause and overweight women to evaluate and correct dyslipidemia so as to prevent adverse atherosclerotic cardiovascular complications and to prevent morbidity and mortality.


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