scholarly journals ACUTE CORONARY SYNDROME;

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.

Cor et Vasa ◽  
2017 ◽  
Vol 59 (6) ◽  
pp. e553-e556
Author(s):  
Petra Kupková ◽  
Marcel Heczko ◽  
Vladimír Kaučák ◽  
Radim Kryza

2017 ◽  
pp. 662-668 ◽  
Author(s):  
Katarzyna Widecka ◽  
Krzysztof Safranow ◽  
Maciej Lewandowski ◽  
Krzysztof Przybycień ◽  
Jarosław Gorący ◽  
...  

2003 ◽  
Vol 42 (148) ◽  
Author(s):  
Man B KC ◽  
S Rajbhandari ◽  
D Sharma ◽  
R Malla ◽  
YR Limbu ◽  
...  

A total of 230 patients admitted in coronary care unit of Shahid Gangalal National Heart Centre in betweenNovember 2001 and October 2002 were studied. 157 (68.2%) were male, with mean age of 62.8±11.8 years.Majority of acute coronary syndrome (ACS) events were observed in males with advanced age (> 65 years).About 68% patients with ACS were smoker, the most common modifiable risk factor followed by hypertension,dyslipidaemia and diabetes. A strong trend towards development of coronary artery disease (CAD) wasfound in subjects with positive family history of CAD. Multiple risk factors (2 or more) were present in vastmajority of patients. Modifiable risk factors, with smoking at number one position are more common inacute coronary syndrome patients. Appropriate management of modifiable risk factors is advisable to reducethe incidence of coronary artery disease.Key Words: Coronary Artery Disease, Risk Factors.


2017 ◽  
Vol 69 (11) ◽  
pp. 254 ◽  
Author(s):  
Amar N. Patnaik ◽  
Pankajkumar A. Kasar ◽  
Raju V.R.C. Pusapati ◽  
K. Jagadishbabu ◽  
Naveenkrishna Kamana ◽  
...  

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.


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