scholarly journals Risk Factors Associated with Ischemic Heart Diseases in Different Age Groups Patients of Tertiary Care Hospitals of Peshawar

2015 ◽  
Vol 1 (2) ◽  
pp. 3-9
Author(s):  
Riaz Gul ◽  
Sumaira Naz
Keyword(s):  
Risk Factors ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Age Groups ◽  
Ischemic Heart ◽  
P Value ◽  
Age Group ◽  
Ischemic Heart Diseases ◽  
Sedentary Life ◽  
Tertiary Care Hospitals

Objectives:To determine different risk factors associated with ischemic heart diseases in different age group patients of tertiary care hospitals of Peshawar.Methodology:A cross sectional study conducted on 350 patients of different age groups presented with ischemic heart diseases in tertiary care hospitals of Peshawar. Study was conducted for duration of 3 months from December 2013 to February 2014. Non probability convenient sampling technique was used. Sample size was calculated using standard sample size calculator. Semi structured questionnaire was used as data collection tool. Patient’s record and investigations were used as adding tools. Standard definition was made for ischemic heart disease. Different modifiable and non-modifiable factors were assessed and were analyzed using SPSS version 16.Results:This study contains 350 patients in which female patients were 133(38%) and male were 217(62%).The mean age was 57.23±11.36 years. The age of the patients ranges from 22 to 80 years. The frequencies of risk factors were stress (73.1%) followed by hypertension (65.7%), sedentary life style (59.4%), family history (57.1%), smoking (50.6%), over weight and obese (39.1%), below normal HDL (30.3%), high LDL (29.1%), hypertriglyceridemia (28%), hypercholesterolemia (23.7%). 64.3% patients were presenting with acute IHD and 35.7% were with chronic IHD. Stress, HTN, DM and sedentary life style were found to be significantly associated with male gender (p- value <0.05). Age was divided into two groups, <45 years and >45 years. Stress, HTN, DM and hypercholesterolemia had a significant association with >45 years of age group. (P-value <0.05).Conclusion:Stress, HTN, DM, sedentary life styles were the major risk factors. And they were found to be more in male gender and in equal to more than 45 years of age group.

Ischemic Heart Disease in Death Discordant Twins - A Study on 205 Male and Female Pairs with Special Reference to Hereditary Factors

1976 ◽  
Vol 25 (1) ◽  
pp. 271-275 ◽  
Author(s):  
Ulf de Faire
Keyword(s):  
Risk Factors ◽  
Heart Diseases ◽  
Genetic Influence ◽  
Ischemic Heart ◽  
Male And Female ◽  
Ischemic Heart Diseases ◽  
Twin Registry ◽  
Hereditary Factors ◽  
Discordant Twins ◽  
Swedish Twin Registry

From January 1971 to March 1973 all twin pairs in the Swedish Twin Registry below the age of 70, who became death-discordant, were continuously recorded. A total of 205 (78%) of the surviving cotwins were examined with respect to different manifestations of ischemic heart diseases (IHD) and several “environmental” and “biometric” risk factors. Among the death-discordant pairs, the cause of death was IHD in 57 pairs and other than IHD in 148 pairs. Analyses revealed that the prevalence rate of myocardial infarction, angina pectoris, pathologic Q-wave, and ST depressions in connection with exercise, were significantly higher among the surviving cotwins whose partners had died from IHD than those whose partners had died from other causes. The same trends were seen for most of the risk factors measured both singly and in combination, although not very pronounced. The results indicate a substantial genetic influence in the development of IHD. The genetic influence is possibly transmitted not only through some of the risk factors measured, but also through other factors, still unknown.

A study on the clinical profile and risk factors of ischemic heart disease in women

2021 ◽  
Vol 19 (3) ◽  
pp. 130-132
Author(s):  
Sarath Kumar Reddy B ◽  
Keyword(s):  
Risk Factors ◽  
Heart Disease ◽  
Chest Pain ◽  
Ischemic Heart Disease ◽  
Stable Angina ◽  
Heart Diseases ◽  
Chronic Stable Angina ◽  
Clinical Profile ◽  
Ischemic Heart ◽  
Ischemic Heart Diseases

Background: Ischemic heart disease (IHD) is one of the principle causes of morbidity and of mortality in women1. Ischemic heart disease may manifest clinically as either chronic stable angina or acute coronary syndrome2 (ACS). Traditional risk factors (hypertension, diabetes, etc.) contribute to the development of IHD in both women and men. Some risk factors are unique to women (e.g., pregnancy-related complications, menopause), which cause increased mortality in women Aim: To study the risk factors and clinical profile of ischemic heart disease in women. Materials And Methods: Hospital-based prospective, cross-sectional study done in 50 patients with ischemic heart disease. Patients with a history of Chest pain suggestive of ischemic heart diseases and Electrocardiogram and cardiac biomarkers suggestive of ischemic heart disease were included in the study. Results: Maximum incidence of ischemic heart diseases is seen in the 6th decade. Mean age is 58.92 + 2.8years. 64%of the patients presented with chest pain, and 36% patients presented without any chest pain. After chest pain, the most common symptom was palpitations, seen in 56% patients, followed by sweating (44%). 30% presented to the medical facility within 3hours. 88% were diagnosed with acute coronary syndrome, and 12% were diagnosed with chronic stable angina. Women specific risk factors include the pregnancy-related complications seen in 10% patients, menopause attained in 86% patients, PCOS seen in 08% patients, use of oral contraceptive pills noticed in 08% patients, Other risk factors identified were hypothyroidism in 16% patients, connective tissue disorders like rheumatoid arthritis seen in 12% of the patients. Conclusion: Awareness regarding atypical symptoms as well as other symptoms of IHD should be created among women to avoid delayed complications. Simple lifestyle modifications like physical activity, diet modifications, etc., will reduce the number of women at risk for IHD.

scholarly journals Age dynamics of the need for outpatient medical care for conditions that determine the basic value of the need in women with the diseases of the circulatory system

2021 ◽  
Vol 9 (4) ◽  
pp. 543-552
Author(s):  
Valeriya S. Oleynikova ◽  
◽  
Sergey N. Cherkasov ◽  
Anna V. Fedyaeva ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Heart Diseases ◽  
Age Groups ◽  
Circulatory System ◽  
Vascular Diseases ◽  
Ischemic Heart ◽  
Mathematical Function ◽  
Age Dynamics ◽  
Ischemic Heart Diseases ◽  
The Brain

INTRODUCTION: The results obtained from the analysis of age dynamics are insufficient for development a program of reducing morbidity and, ultimately, mortality, since a need of medical care already indicates a problem; so prevention and screening programs should surpass the emergence of these problems. AIM: To analyze the age dynamics of the need for outpatient medical care for conditions that determine the basic value of the need in women with diseases of the circulatory system. MATERIALS AND METHODS: We used data on 780,000 visits during one year to medical organizations that provide medical care on an outpatient basis. We studied the probability of an episode and the dynamics of the frequency of episodes depending on age in six five-year age groups: 31 to 35 years, 36 to 40 years, 41 to 45 years, 46 to 50 years, 51 to 55 years, and 56 to 60 years. The dynamics of the frequency of episodes was modeled by a mathematical function with the largest value of the approximation coefficient. The dynamics of the frequency of episodes was modeled by a mathematical function with the largest value of the approximation coefficient. RESULTS: The dynamics of the need for outpatient medical care for hypertensive diseases [Diseases characterized by high blood pressure] (I10 – I15), ischemic heart diseases (I20 – I25) and vascular diseases of the brain (I60 – I69) is characterized by an increasing trend in demand indicators throughout the studied age period. The greatest increase in indicators is observed in the age groups of 31–40 years for ischemic heart diseases and vascular diseases of the brain and 41–50 years for hypertensive conditions. The greatest increase in demand is observed for coronary heart diseases (I20 – I25). The total amount of resources required increases more than 350 times over the 30-year age period, despite the stable value of the average duration of treatment. The increase in the total amount of resources required for vascular diseases of the brain is 30 times. The lowest growth gradient is registered in relation to hypertensive conditions (10-fold growth). As a critical age period, it is most appropriate to consider the age of a woman under 35 years. CONCLUSION: Mathematical modeling is optimally performed using power functions for hypertensive conditions and vascular diseases of the brain and exponential functions for ischemic heart diseases. All the proposed models are characterized by high approximation coefficients.

scholarly journals Clinical profile and outcome of children with congenital heart diseases admitted with acute events in a paediatric tertiary care unit in North Karnataka

2021 ◽  
Author(s):  
Ramaning Loni ◽  
Pruthvi Ranganath ◽  
Manisha Juvekar ◽  
Nitin Tikare ◽  
L. H. Bidari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Protein Energy Malnutrition ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Congenital Heart Diseases ◽  
Age Group ◽  
Presenting Symptoms ◽  
Co Morbidity

Background: Congenital heart diseases are the predominant causes of paediatric morbidity and mortality. This study was done to know the clinical profile, various acute presentations, and risk factors for repeated hospitalizations and their outcome in children with congenital heart diseases.Methods: This prospective observational study of children in the age group of 0 hour-12 years, who were previously diagnosed and or newly diagnosed with congenital heart diseases.Results: A total of 102 children were present during the study period. The most common age group for congenital heart disease was infancy with 46.1% (47 cases) of children. Acyanotic heart diseases were observed in 73.5% (75 cases) of the total, followed by cyanotic CHD with 14.7% (15 cases), complex CHD with 9.8% (10 cases), and the least, valvular diseases with 2% (2 cases). The most usual presenting symptoms in children with CHDs were breathlessness with 66.7% (67 cases), followed by fever with 54.9% (56 cases) and cough with 48% (49 cases. In this study, 23.5% (24 cases) of the children were completely immunized. The protein-energy malnutrition was present in 51% of cases (52 cases). The 16.7% of them (17 cases) have got the motor developmental delay predominantly. The dysmorphic features were present in 19 cases (18.6%) of total cases. The chest X-ray findings were abnormal in 58.8% (60 cases). The most common risk factor(co-morbidity) in children with CHD was noticed to be anaemia in 43 cases (42.2%).Conclusions: The infancy and early childhood are the most common age group for the presentation of CHDs. Most of them had the associated risk factors (co-morbid) like nutritional anaemia, pneumonia, and failure to thrive.

scholarly journals Risk Factors for Isolated Left Main Coronary Artery Disease

1970 ◽  
Vol 1 (1) ◽  
pp. 17-21
Author(s):  
Syed Dawood Md Taimur ◽  
M Maksumul Haq ◽  
Tamzeed Ahmed ◽  
Md Rezaul Karim ◽  
MA Rashid ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Heart Diseases ◽  
Ischemic Heart ◽  
Coronary Angiogram ◽  
Left Main ◽  
Ischemic Heart Diseases ◽  
Traditional Risk Factors ◽  
Artery Disease

Background & objective: Left main coronary artery (LMCA) stenosis (defined as 50 or > 50 percent narrowing of luminal diameter) usually has a bad prognosis unless revascularization done. Isolated left main coronary artery (ILMCA) disease is a rare clinical entity. Although it carries a grave prognosis, its etiology is not well-understood. Determining risk factors for ILMCA disease might be promising in the preventive strategy of ischemic heart diseases. The aim of this study was to determine the demographic and traditional risk factors for left main coronary artery disease. Methods: This cross-sectional study was done on patients who underwent coronary angiogram (CAG) at Ibrahim Cardiac Hospital & Research Institute from February 2005 to June 2009. Total number of procedures done in Cath Lab was 7103. Of them 6708(94%) cases underwent CAG. Only 18 of them (0.27%) had isolated left main lesion and were included as cases. Patients who did not have ILMCA were taken as controls. The number of controls selected was 8 times the number of cases (n = 144). Of them 3 were excluded because of incomplete data leaving 141 controls finally. Fifty or > 50% stenosis in the left main was considered as significant stenosis. Major demographic and clinical information of patients were collected from the database of the Institute and were compared between the case and control groups. Results: Of the 18 subjects who had ILMCA disease 44.4% exhibited stable angina, 27.8% had ACS. One third of these patients had normal ECG, ST-T changes in another one third of the patients and 11% had previous MI. 16.7% patients had wall motion abnormality in echocardiogram. Only 4 out of these 18 patients had ETT done before CAG and all were found positive. Patients with ILMCA disease were comparatively old (> 50 years) than the patients without ILMCA disease (p = 0.448). Females were more prevalent in the case group (27.8%) than that in the control group (22.2%) (p = 0.854). There was no significant difference between patients with or without ILMCA disease in terms of traditional risk factors for ischemic heart diseases like hypertension, diabetes, smoking habit, dyslipidemia and family history of ischemic heart diseases (p > 0.05). Conclusion: Isolated and significant LMCA disease is an unusual angiographic finding and presents most commonly as stable angina. A female preponderance is usually observed. The prevalence of atherosclerotic risk factors of these patients is similar to that of the general population undergoing coronary angiogram. Key words: Isolated left main disease; risk factors; coronary angiogram; significant lesion. Ibrahim Card Med J 2011; 1(1):17-21

scholarly journals Análise epidemiológica das internações hospitalares por doença isquêmica do coração no Piauí entre 2017 e 2020

2021 ◽  
Vol 2 (4) ◽  
pp. 776-779
Author(s):  
Milena Viana Freire ◽  
Mariana de Sousa Meneses Carvalho ◽  
Aureliano Machado De Oliveira
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Hospital Admissions ◽  
Heart Diseases ◽  
Ischemic Heart ◽  
Ischemic Heart Diseases

RESUMO As doenças isquêmicas do coração (DIC) estão entre as principais causas de internações hospitalares no Piauí. Os índices são mais expressivos quanto maior a exposição aos fatores de risco cardiovasculares, o que ressalta a importância da adoção de hábitos mais saudáveis.     ABSTRACT Ischemic heart diseases (IHD) are among the main causes of hospital admissions in Piauí. The higher the exposure to cardiovascular risk factors, the more expressive the indices are, which highlights the importance of adopting healthier habits.  

scholarly journals Insulin Resistance and Hypogonadism

2013 ◽  
Vol 1 (1) ◽  
pp. 3-7
Author(s):  
Md Ruhul Amin ◽  
Md Faruque Pathan ◽  
AHM Aktaruzzaman ◽  
Nazmul Kabir Qureshi ◽  
Fahmida Akter ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Age Groups ◽  
Visceral Obesity ◽  
Cross Sectional Study ◽  
P Value ◽  
Age Group ◽  
Cross Sectional ◽  
Sedentary Life ◽  
Sedentary Life Style ◽  
Male Subjects

Backgound: The number of hypogonads is increasing day by day. It may be due to sedentary life style with increased obesity, increased tension or stressed lifestyle among all groups of populations. Visceral obesity is associated with insulin resistance, diabetes mellitus and also with hypogonadism. Objective: This study was carried out to determine the proportion of insulin resistance among male subjects with hypogonadism in different age groups along with status of erectile quality among diabetics and non diabetics. Materials and method: This cross sectional study among 161 adult male subjects aged ? 20 to ? 60 years were purposively selected from Bangladesh Institute of Research and Rehabilitation in Diabetes Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh between May 2009 to September 2010. Glycemic status and insulin resistance (by HOMA-R) were done and relevant history were documented. Results: The highest proportion (38.9%) of hypogonadism was in ? 50 years age group whereas highest proportion (39.6%) of the eugonads was in the age group of 40 to 49 years. More than half of the hypogonad subjects had weak erectile quality (54.0%) which were followed by absent erectile quality in 32.7% and 13.3% subjects had normal erectile quality. Among the eugonad subjects 41.7% had normal erectile quality, 41.6% subjects had weak erectile quality and 16.7% subjects had no erectile quality. More than ninety percent of the hypogonad subjects and about 60% of the eugonad subjects had insulin resistance. The average HOMA-R was more in the subjects with hypogonadism with diabetes which was highly significant (p-value < 0.001). Conclusion: Hypogonadism is associated with insulin resistance.DOI: http://dx.doi.org/10.3329/dmcj.v1i1.14968 Delta Med Col J. Jan 2013;1(1):3-7 

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.

scholarly journals Hydrostatic reducibility of intussusception among different age groups in paediatric population-a descriptive study

2017 ◽  
Vol 4 (2) ◽  
pp. 732
Author(s):  
Sreejith Haridas ◽  
Vineed S. ◽  
K. Sivakumar
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Descriptive Study ◽  
Favourable Effect ◽  
P Value ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Hydrostatic Reduction ◽  
Paediatric Age

Background: Intussusception is one of the most frequent causes of bowel obstruction in infants and toddlers. In children, it is often an idiopathic condition and treated non-surgically by radiologic reduction. Primary aim of study was to analyse the outcome of hydrostatic reduction of intussusception across different paediatric age group patients admitted in a medical college hospital.Methods: This is a hospital based descriptive study conducted in tertiary care centre for one year duration in 2014-2015. 90 patients admitted with diagnosis of intussusceptions for hydrostatic reduction were interviewed with the proforma and details were collected. The procedural detail of hydrostatic reduction was also collected. Patients were followed up for a period of 48 hours post successful hydrostatic reduction.Results: Hydrostatic reducibility of intussusception was 63.3% in less than 3 months age group compared to 93.3% each in other two groups. Overall hydrostatic reducibility was of 83.3%, while 16.7% went for laparotomy. First group had 36.7% cases gone for laparotomy. Analysis of each of the study variables was done to find out their association with hydrostatic reducibility. Only duration, bleeding per rectum, lethargy, dehydration, side of lesion and total count were found to have a statistically significant p value. Logistic regression analysis of the above five variables revealed that only the ‘duration of symptoms’ had a statistically significant independent association with hydrostatic reducibility of intussusception ,with a p value of 0.033 and odds ratio 12.477. 5.3% of cases of first group had recurrence within 48 hours of hydrostatic reduction, while 10.7% and 21.4% of cases from second and third group respectively had recurrence within 48 hours of reduction. Overall recurrence of intussusception within 48hours is 13.3%.Conclusions: Hydrostatic reduction of intussusception is more successful in paediatric age group > 3 months compared to < 3 months. Shorter duration of symptoms, especially < 48 hours may have a favourable effect on hydrostatic reducibility of pediatric intussusception. Rate of recurrence of intussusception within 48 hours of successful hydrostatic reduction is 13.3 per 100 paediatric cases.

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