scholarly journals Implication of risk factors for coronary heart disease

2016 ◽  
Vol 48 (1-2) ◽  
pp. 28-31
Author(s):  
Md Shahidul Basher ◽  
ABM Maqsudul Haque ◽  
Shikha Kabir ◽  
Mohammad Mohammad Kamruzzaman Khan ◽  
Mohammad Rashedul Hassan ◽  
...  

A Case Control study was carried out to identify the risk factors of Coronary Heart Disease (CHD) at Mymensingh Medical College Hospital. As many as 96 patients were selected purposively as cases who were admitted with CHD at Coronary Care Unit, whereas an equal number of age, sex and religion matched controls were selected from patients admitted into Medicine Units during the study period. Data were collected by using pretested interview schedule after obtaining informed verbal consent. The mean age of the cases and controls, were 58.88 years with a Standard Deviation of 10.52 years. A highest number of cases and controls (87-90.62%) were males, while the rest 9 (9.38%) were females. Among cases 27 (28.13%) were illiterate, while of controls, 36 (37.50%) were illiterate. The association of smoking with the development of Coronary Heart Disease was statistically significant (P<O.05) with an odds ratio of 2.07. Family history of CHD had a very high statistical significance (p<0.001) with odds ratio 3.53. High statistical significance (p<0.01) was also observed between Diabetes Mellitus and Coronary Heart Disease with an odds ratio of 3.34. Coronary Heart Disease can be prevented through primordial prevention by hindering the development of baneful behaviours like habit of smoking, chewing betel leaf, use of tobacco and jarda, having fatty diet like meat.Bang Med J (Khulna) 2015; 48 : 28-31

2018 ◽  
Vol 17 (3) ◽  
pp. 59-64
Author(s):  
S. A. Maximov ◽  
D. P. Tsygankova ◽  
G. V. Artamonova

Aim. Analysis of the relation of smoking and alcohol consumption with coronary heart disease (CHD) and its main risk factors (RF).Material and methods. The data analyzed, from the multicenter epidemiological study ESSE-RF (Epidemiology of Cardiovascular Diseases and Risk Factors in Russia) in Kemerovaskaya region, on the random sample of male and female inhabitants of 25-64 y.o. (n=1628). With the interview method, data gathered on alcohol consumption and smoking status of the participants, as on their social level, anamnesis, presence of angina pectoris. During medical investigation the values of lipid profile were obtained, weight and height, blood pressure and electrocardiography. The assessment of relation of smoking and alcohol with CHD and its RF was done with the logistic regression.Results. After correction for the modifying RF, most adverse associations were found in the heaviest drinkers regardless smoking: high significant risks of triglyceridemia — odds ratio (OR) is 2,46-4,59, and CHD — OR 3,023,89, as the tendency for statistical significance of hypercholestrolemia. In smokers and heavy alcohol consumers there is tendency to hypertension and diabetes risk. In smokers nonand moderate drinkers there are tendencies for higher hypertension risk, as of higher triglycerides and CHD risk. The category smokers/non-drinkers is characterized by the highest among others significant risk of CHD (OR 9,05). Among all studied groups, the best position hold non-smokers/moderate drinkers, who present with the risks of CHD and RF similar to reference, or lower (non-significant).Conclusion. Results of the study witness on the relation of CHD and its RF with the combination of smoking and alcohol consumption.


2016 ◽  
Vol 11 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Radheshyam Saha ◽  
MM Shahin Ul Islam ◽  
Ahmed Manadir Hossain ◽  
Mohammad Rafiqul Kabir ◽  
Abdullah Al Mamun ◽  
...  

Stroke is one of the most common medical emergency. A total number of 100 randomly selected clinically and CT proven acute stroke patients were studied at medicine and neurology ward of Faridpur Medical College Hospital (FMCH), Faridpur from January to July, 2014 with a view to study the clinical features and risk factors of Stroke. Among 100 patients, stroke was found most commonly in 59-70 years age group. Ischaemic stroke was 56%, haemorrhagic stroke was 39% and haemorrhagic infarct was 5%. Most of the patients were male with male-female ratio was 1.6:1. The commonest risk factor was hypertension found in 60%, diabetes mellitus found in 17%, smoking was present in 54% patients and dyslipidaemia was present in 22% cases. History of heart disease (Myocardial infarction was present in 2% patients, valvular heart disease was present in 4% patients) was present in 6% patients. The commonest presentation in both ischaemic and haemorrhagic stroke was hemiplegia (61%). Headache (14%) and vomiting (10%) were found to be more common accompaniment in haemorrhagic stroke. Loss of consciousness was present in 34% patients. Alcohol intake was not found in any patient.Faridpur Med. Coll. J. Jan 2016;11(1): 23-25


2006 ◽  
Vol 63 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Dragana Jovanovic ◽  
Branko Jakovljevic ◽  
Katarina Paunovic ◽  
Dusan Grubor

Background/Aim. Numerous studies have provided clear and convincing evidence that psychosocial factors contribute to the pathogenesis and expression of coronary heart disease (CHD). These factors have been related to the following psychosocial domains: personality factors and character traits, depression, anxiety, social isolation and chronic life stress. The aim of this study was to estimate the influence of personality traits and psychosocial risk factors for the development of coronary heart disease. Methods. The investigation was conducted as observational cross-sectional (case-control) study. Based on medical records all subjects were divided into two groups: the group of patients with CHD (61 participants), and the control group of 41 healthy participants. All participants fulfilled the Eysenck Inventory Questionnaire, Paykel stress scale and Bortner scale of A-B self-estimation. Results. The participants with CHD were shown to have lower education than healthy participants, but were comparable by gender, age and place of residence. According to the Bortner scale, most participants with CHD expressed type A personality, whereas most healthy participants expressed types B and AB. The patients with CHD achieved higher scores on the Paykel stress scale of life events, and they had the higher level of neurotic and psychotic tendencies, as well as the lower level of extroversion compared to the healthy participants. Multivariate logistic regression model identified chronic stress (odds ratio 1.018; 95% confidence interval 1.007?1.028) as an important predictor for the occurrence of coronary heart disease, when adjusted for age, gender, nourishment and blood pressure. On the other side, the lower risk for the occurrence of CHD was observed among the participants who had the higher level of extroversion (odds ratio 0.859; 95% confidence interval 0.636?0.902). Conclusion. Chronic stress and introversion can be considered important risk factors for the development of coronary heart disease, independent of other predictors such as obesity and hypertension, supporting the biopsychosocial model of the occurrence of coronary heart disease.


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