scholarly journals ISCHEMIC HEART DISEASE

2016 ◽  
Vol 23 (12) ◽  
pp. 442-1448
Author(s):  
Shahadat Hussain Ch ◽  
Anwaar Ul Hassan ◽  
Shafqat Nazir
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Premenopausal Women ◽  
Ischemic Heart ◽  
P Value ◽  
Cross Sectional ◽  
Younger Age ◽  
Artery Disease ◽  
Disease Study

Objectives: To find out distribution of cardiovascular risk factors for women inestablished coronary artery disease. Study Design: Retrospective cross sectional descriptivestudy. Place and Duration of Study: Private clinic of consultant cardiologist at Bahawalpur fromJune 2013 to December 2015. Methodology: Total 6345 patients were registered and only 820female patients were diagnosed cases of ischemic heart disease selected for analysis of theircardiovascular risk factors. Results: The overall mean age of women was 57.75±11.28 years,weight was 66.3±15.14 kilogram, height was 153.77±7.87 cm, body mass index (BMI) was27.89±6 kg/m2 and body surface area (BSA) was 1.76±0.28 m2. Significantly high frequencyof obesity was found in premenopausal women as compared to other group i.e. 56.5% with pvalue <0.0001. BMI was also high in premenopausal women 32.13±7.91 then perimenopausalwomen, postmenopausal women and women with hysterectomy 28.06±6.93, 27.84±5.51 and27.33±6.03 respectively. The overall weight is also more in premenopausal group as comparedto postmenopausal, perimenopasaul and hysterectomy group i.e. 77.54±21.18, 66.46±13.66,66.07±16.33 and 64.41±15.31 respectively and P Value was <0.0001. There was no differencefound when DM, HTN and smoking compared within these four group. Smoking, CVA and PCI orCABG were 13(1.5%), 30(3.7%) and 13(1.5%) women respectively. Conclusion: Hypertensionand DM are most common risk factor in women with IHD. Weight, BMI and different class ofobesity are more common in younger age group as compare to older age. Smoking, PCI andCABG are very less frequent in women in this area.

scholarly journals Comprehensive Study of Acute Myocardial Infarctions Triggers

2020 ◽  
Author(s):  
Kamal Khademvatani ◽  
Amin Sedokani ◽  
Sima Masudi ◽  
Parisa Nejati ◽  
Mir Hossein Seyed-Mohammadzad ◽  
...  
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Health Care Systems ◽  
Ischemic Heart ◽  
Clinical Event ◽  
P Value ◽  
Cross Sectional

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.

O3-07-04: MIDLIFE RISK FACTORS FOR MORTALITY AND DEMENTIA AT VERY OLD AGE: THE ISRAEL ISCHEMIC HEART DISEASE STUDY

2014 ◽  
Vol 10 ◽  
pp. P222-P222
Author(s):  
Michal Schnaider Beeri ◽  
Ramit Ravona-Springer ◽  
Noa Shalit ◽  
Yuval Berman ◽  
Uri Goldbourt
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Old Age ◽  
Ischemic Heart ◽  
Very Old ◽  
Very Old Age ◽  
Disease Study ◽  
Midlife Risk Factors

scholarly journals Association of Diabetes and Hypertension as risk factors with Ischemic Heart Disease among patients visiting a Public Sector Tertiary Care Hospital of Karachi, Pakistan

2021 ◽  
Vol 10 (4) ◽  
pp. 215-219
Author(s):  
Zulfiqar Ali Shaikh ◽  
Javeria Shamim ◽  
Akmal Khurshid Bhatti ◽  
Sahar Soomro ◽  
Zareen Kiran ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Family History ◽  
Public Sector ◽  
Ischemic Heart Disease ◽  
Sedentary Lifestyle ◽  
Tertiary Care ◽  
Ischemic Heart ◽  
P Value ◽  
Care Hospital

Background: Ischemic Heart Disease (IHD) is a leading cause of morbidity and mortality worldwide. IHD results from myocardial ischemia, and occurs whenever perfusion outgrows the demand. Though lethal, but can be prevented by modification of predisposing conditions, most important are diabetes and hypertension. Almost fifty percent of IHD patients are found hypertensive with or without being diabetic. The objective of the study was to determine association of diabetes and hypertension as risk factors for IHD patients Methods: This was a hospital-based cross-sectional study that included 199 IHD patients of 35-70 years age, visiting Civil Hospital Karachi, a tertiary care public sector hospital, from September 2017 to January 2018 by using non-probability convenient sampling technique. The patients were approached in the hospital and briefed about the purpose of the study. A pre-tested, structured close ended questionnaire was used to collect the data. Data entry and analysis were done by using SPSS version 20.0. A p-value of <0.05 was considered as statistically significant. Results: Out of 199 participants, 156 (78%) were males while 43 (22%) were females; 119 60%) were 56-65 years of age. Family history of ischemic heart diseases was unremarkable in 126 (63%) patients. In total, 122 (61%) were diabetic; among them, 24 were of less than 40years and 98 of more than 40years of age. The older age of the diabetics had a direct association with the risk of IHD (p-value <0.05). About 83% had a non-significant family history for diabetes; and 83% of the total study participants were having a sedentary lifestyle. Out of 199, 166 (83%) had never checked their blood pressures earlier. The lifestyle, diet, addiction, and duration of hypertension had a strong association with IHD (p-value <0.05). Conclusion: IHD occurs more frequently in males of 56-65 years age, with insignificant family history for IHD and diabetes. The IHD is associated with hypertension and diabetes along with sedentary lifestyle, unhealthy diet and smoking/tobacco addiction.

Evaluation of Ischemic Heart Disease Factors in Hemophilia Patients in Khorramabad

2020 ◽  
Vol 20 ◽  
Author(s):  
Alireza Nezami ◽  
Fariba Tarhani ◽  
Sina Elahi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Disease ◽  
Cardiovascular Risk ◽  
Ischemic Heart Disease ◽  
Cardiovascular Risk Factors ◽  
Cardiovascular Death ◽  
Ischemic Heart ◽  
Cross Sectional ◽  
Risk Predictor

Background: Evaluation of risk factors associated with coronary artery disease and cardiac health in hemophilia patients is necessary to prevent the onset of ischemic heart disease. In this study, we evaluated the cardiovascular status of hemophilic patients in Lorestan province for the early onset of ischemic heart disease. Methods: In this cross-sectional descriptive study, a total of 80 patients presenting severe hemophilia, the detailed questionnaire-based investigation was conducted to analyze the prevalence of cardiovascular risk factors in severe hemophilic patients. In patients with hemophilia, body mass index (BMI), blood pressure, diabetes, LDL, cholesterol and HDL, the risk of cardiovascular death was estimated using a predictive risk predictor algorithm of Europe SCORE. Results: The mean age of the patients was 25 years where all the patients were non-diabetic. Echocardiography did not show any wall motion abnormality and changes in the T wave and dysrhythmia was also not seen by ECG. 7 patients had high blood pressure, 11 had abnormal HDL, and 1 had abnormal LDL. In this study, serum LDL and HDL levels were not significantly correlated with age and BMI. Conversely, age and BMI were significantly associated with hypertension. Hypertension was observed in people over the age of 25 years and in overweighed individuals.78.8% had normal BMI and 21.3% were overweighed. There was no significant correlation between serum LDL, serum HDL, and blood pressure and sex. The levels of abnormal LDL and HDL were higher in men than in women. Conclusion: ECG findings from our study did not report any significant cardiac abnormalities among hemophilic patients. Cardiovascular risk factors were not significantly correlated in these paitents.

scholarly journals Role of Exercise Tolerance Test in the Screening of Suspected Myocardial Ischemia in Bangladeshi Patients

2019 ◽  
Vol 34 (2) ◽  
pp. 122-126 ◽  
Author(s):  
Anisur Rahman Khan ◽  
AKM Azad Hossain ◽  
Md Akteruzzaman ◽  
Sabina Jesmin ◽  
Md Salahuddin Ulubbi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Chest Pain ◽  
Myocardial Ischemia ◽  
Ischemic Heart Disease ◽  
Dietary Intervention ◽  
Ischemic Heart ◽  
Early Screening ◽  
College Hospital ◽  
Cross Sectional

Background: Ischemic Heart Disease (IHD) is preventable and reversible if early screening and elimination of the risk factors like life style modification and dietary intervention can be done. Exercise Tolerant Test (ETT) has become an important diagnostic tool to evaluate patient with suspected or known case of ischemic heart disease. Objective: To determine the frequency of IHD among subjects who presented with chest pain and to identify the common indications for ETT. Methodology: It was a cross-sectional study; the data was collected from ETT Unit of Mugda Medical College Hospital, Dhaka, Bangladesh using standard Bruce protocol. Result: Out of 200 patients, there were 124(61%) male and 78(39%) female who presented in the cardiology department for ETT. Common indications for ETT were evaluation of chest pain 180(90%), followed by general check-up 14(7%), post-PCI evaluations 4(2%) and post- CABG evaluation 2(1%).Presenting complaints were typical angina 12(6%), shortness of breath 56(28%), nonspecific chest pain 82(41%), chest compression 46(23%) and others 4(2%). Exercise ECG showed no ST changes in 138(69%) patients. The most common risk factors were hypertension, diabetes, smoking and obesity. Majority of the subjects 136(68%) were test negative whereas 42 (21%) were test positive and 22(11%) were test equivocal. Conclusions: It is concluded that most of the subjects presenting with the suspected symptoms of myocardial ischemia were negative for IHD, and so why we advocate the use of ETT as a screening tool in patients who presents with features simulating angina. This will prevent unnecessary hospital admission. Bangladesh Heart Journal 2019; 34(2) : 122-126

scholarly journals Patient’s Information Toward Some Modifiable Risk Factors of Ischemic Heart Disease

2020 ◽  
pp. 27-39
Author(s):  
Bayan Omar Sharif ◽  
Aras Hamad Rasul ◽  
Osman Ibrahim Mahmud ◽  
Farman Nuri Abdulla
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Demographic Data ◽  
Internal Consistency Reliability ◽  
Ischemic Heart ◽  
P Value ◽  
Modifiable Risk Factors ◽  
Dietary Regimen ◽  
Patient’S Information

Ischemic heart disease (IHD), , is the condition of heart problems, caused by narrowed coronary arteries that supply oxygenated blood to the heart muscle. There is a shortage of study of bachelor students. The goal of this research was directed to assess level of patient’s information toward some modifiable risk factors of IHD at Rania teaching hospital in Kurdistan region of Iraq during the period of (20th October 2019 - 10th February 2020). A non- probability purposive sample of (143) patients; the study instrument was constructed of total (42) items for the purpose of data collection. The content validity of the instrument was determined through a panel of (12) experts. Reliability of the instrument was determined through the use of internal consistency reliability (split half) approach which was estimated as r = (0.83) the data were collected through the use of interview technique (face to face approach), the computer files is used to organizing and coding it. The data analyzed by Statistical approaches which includes: descriptive and inferential statistical and chi- square, data analysis (SPSS version 25). The outcome showed that most of the sample rang from the age (25-40) years and most of them were male from urban, more than half of them were unemployed but nearly half of them were graduated from primary school. 32.2% of them diagnosed by cardiovascular disease. However more than half of them had a high level of information about IHD as a general, and the TV was the first source of their information but more than half of them were overweight, 65% did not do regular exercise, 52.4% were relatively stressful. Also, the study demonstrated that there is no significant association between socio demographic data and level of patient’s information toward some modifiable risk factors of IHD, with age, gender, educational level and occupation with IHD, at p value greater than 0.05. The study recommended to ministry of health and directorate of health in Rania city to develop and supervise the center of dietary regimen and halls of exercise for the people to implement their information and practice it

scholarly journals DIABETICS IN A LOW SOCIOECONOMIC COHORT;

2017 ◽  
Vol 24 (03) ◽  
pp. 403-408
Author(s):  
Ayesha Nageen ◽  
Saera Suhail Kidwai ◽  
Farhat BashIr ◽  
Jamal Ara ◽  
Syed Muhammad Munir
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Cardiovascular Risk ◽  
Ischemic Heart Disease ◽  
Strong Association ◽  
Tertiary Care ◽  
Ischemic Heart ◽  
Socioeconomic Group ◽  
Cross Sectional ◽  
Low Socioeconomic

Objectives: To study the latest trend of cardiometabolic risk factors in diabeticsin a low socioeconomic group. Design: Cross sectional observational. Place and duration:Three tertiary care hospitals of Karachi. June 2013 – Dec 2014. Methods: 824 type II adultdiabetic patients of both genders were included. History was taken regarding diabetes, ischemicheart disease, hypertension, and cerebrovascular accidents. Blood pressure and BMI wasrecorded. Investigations were done for dyslipidemia. SPSS 16 was used for means, frequenciesand proportions. Results: There were 276 males (33%) and 548 females (67%) with a meanage of 52 years (±9.67). Mean duration of diabetes was 9.36 years (± 6.39). Hypertension waspresent in 375 (45%) diabetics of which males were 124(33%) and females were 251(66.6%).Frequency of hypertension in total diabetic males is 45% (125) and in females 45.6 %( 140).Ischemic heart disease was present in 105 patients (12.7%) in which males were 45(42.8%) andfemales were 60(57.1%). The male percentage of ischemic heart disease was 16.3% (45) of thetotal males and females 11 %( 40). Stroke was found in 19 patients (2.3%) equally distributed inboth genders. Mean Body mass Index was 28.02 (+/- 5.31) with 135 (16.3%) being overweightand 529 (64.2%) obese. Dyslipidemia was present in 250 (42.3%) out of 591 patients. Smokinghistory taken in 614 patients showed that 73 (11.8%) were smokers and/or chewed tobacco.Out of a total of 595 patients, 372 (62.5%) patients had metabolic syndrome. Conclusion:There is a strong association and high prevalence of cardiovascular risk factors in diabetics ina low socioeconomic group. Factors such as hypertension, dyslipidemia, obesity, and smokingfurther multiply the cardiovascular risk ratio in diabetics.

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