Prevalence and Risk Factors of Coronary Heart Disease in Nawabshah: A Case-Control Study
Prevalence and Risk Factors of Coronary Heart Disease
DOI:
https://doi.org/10.54393/pjhs.v5i10.2102Keywords:
Coronary Heart Disease, Hypertension, Smoking, Obesity, HyperlipidemiaAbstract
One of the top causes of mortality globally was Coronary Heart Disease (CHD), and South Asian nations were exhibiting a particular trend in this regard. Objective: To determine the prevalence and identify its associated risk factors in the Nawabshah population. Methods: For ten months, from October 5, 2023, to May 27, 2024, this case-control research was carried out at the Peoples University of Medical and Health Sciences Hospital in Nawabshah. The participants underwent a complete clinical assessment, including laboratory testing, physical examination, and medical history review. Based on known diagnostic criteria such as Electrocardiogram (ECG) analyses, cardiac enzyme levels, and imaging examinations, the attending physicians diagnosed Coronary Heart Disease (CHD). Results: In the study population, 52.5% of the cases were classified as obese, and 64.3% had hyperlipidaemia. Additionally, 31.1% of the patients in the case group had diabetes, 66.4% were smokers, and 73.5% had hypertension. Physical inactivity was prevalent in 55.5% of the patients in the case group. According to the sex distribution, there were more women in the case group (53.4% versus 45.0%). Conclusions: The high prevalence of hypertension, hyperlipidaemia, obesity, and smoking in Nawabshah is one of the modifiable risk factors for coronary heart disease that this research emphasizes. Public health measures that aim to improve people's lifestyles and prevent diseases should be implemented immediately considering these results.
References
Torpy JM, Burke AE, Glass RM. Coronary heart disease risk factors. Journal of the American Medical Association. 2009 Dec; 302(21): 2388-. doi: 10.1001/jama.302.21.2388.
Samad Z, Hanif B. Cardiovascular Diseases in Pakistan: Imagining a Postpandemic, Postconflict Future. Circulation. 2023; 147(17):1261-3.
Malik M, Khan JA, Kumar A, Hassan H, Ahmed S, Panhwar WA et al. Prevalence of Coronary Artery Disease at National Institute of Cardiovascular Disease Hyderabad (NICVD) Sindh. Pakistan Journal of Medical & Health Sciences. 2022 Dec; 16(10): 954-. doi: 10.53350/pjmhs221610954.
Mangi RA, Chandio AM, Lighari JH. Prevalence of Coronary Artery Disease Socio Demographic Determinants in Low Socioeconomic Status Population. Journal of Peoples University of Medical & Health Sciences Nawabshah. Journal of Peoples University of Medical & Health Sciences. 2017 Mar; 7(1): 25-30.
Krishnan MN, Zachariah G, Venugopal K, Mohanan PP, Harikrishnan S, Sanjay G et al. Prevalence of coronary artery disease and its risk factors in Kerala, South India: a community-based cross-sectional study. BioMed Central Cardiovascular Disorders. 2016 Dec; 16: 1-2. doi: 10.1186/s12872-016-0189-3.
Roeters van Lennep JE, Westerveld HT, Erkelens DW, van der Wall EE. Risk factors for coronary heart disease: implications of gender. Cardiovascular Research. 2002 Feb; 53(3): 538-49. doi: 10.1016/S0008-6363(01)00388-1.
Ren C, Yu J, Zhang J, Wang S, Zhu E, Guo H et al. Prevalence of coronary artery disease in patients undergoing valvular heart surgery. InThe Heart Surgery Forum. 2023 Mar; 26(2): E141-E147. doi: 10.1532/hsf.5331.
Rush CJ, Berry C, Oldroyd KG, Rocchiccioli JP, Lindsay MM, Touyz RM et al. Prevalence of coronary artery disease and coronary microvascular dysfunction in patients with heart failure with preserved ejection fraction. Journal of the American Medical Association Cardiology. 2021 Oct; 6(10): 1130-43. doi: 10.1001/jamacardio.2021.1825.
Pencina MJ, Navar AM, Wojdyla D, Sanchez RJ, Khan I, Elassal J et al. Quantifying importance of major risk factors for coronary heart disease. Circulation. 2019 Mar 26; 139(13): 1603-11. doi: 10.1161/CIRCULATIONAHA.117.031855.
Tariq MS, Manzoor I, Hussain N, Saleem N, Shabbir M. Gender difference in risk factors associated with ischemic heart disease in Lahore: Gender difference in risk factors associated with Ischemic Heart Disease. Journal of Fatima Jinnah Medical University. 2020 Jul; 14(2): 72-7. doi: 10.37018/hjie6482.
Aziz KU, Faruqui AM, Patel N, Jaffery H. Prevalence and awareness of cardiovascular disease including life styles in a lower middle class urban community in an Asian country. Pakistan Heart Journal. 2008; 41(3-4).
Khuwaja AK, Lalani S, Azam IS, Ali BS, Jabbar A, Dhanani R. Cardiovascular Disease‐Related Lifestyle Factors among People with Type 2 Diabetes in Pakistan: A Multicentre Study for the Prevalence, Clustering, and Associated Sociodemographic Determinants. Cardiology Research and Practice. 2011; 2011(1): 656835. doi: 10.4061/2011/656835.
World Health Organization. Tobacco responsible for 20% of deaths from coronary heart disease. [Last cited: 21st Jul 2024]. Available at: https://www.who.int/news/item/22-09-2020-tobacco-responsible-for-20-of-deaths-from-coronary-heart-disease.
Sudikno S, Driyah S, Pradono J. Determinants of coronary heart disease among adults: a case-control study. Universa Medicina. 2023 Mar; 42(1): 41-51. doi: 10.18051/UnivMed.2023.v42.41-51.
Adiputra I, Trisnadewi NW, Oktaviani NP, Dwita DP. Hyperlipidemia is a dominant risk factor for coronary heart disease. Periodic Epidemiology Journal/Jurnal Berkala Epidemiologi. 2023 Jan; 11(1). doi: 10.20473/jbe.V11I12023.25-31.
Powell-Wiley TM, Poirier P, Burke LE, Després JP, Gordon-Larsen P, Lavie CJ et al. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2021 May; 143(21): e984-1010. doi: 10.1161/CIR.0000000000000973.
Ghaddar F, Zeidan RK, Salameh P, Tatari S, Achkouty G, Maupas-Schwalm F. Risk Factors for Coronary Heart Disease Among Lebanese Women: A Case-Control Study. Vascular Health and Risk Management. 2022 Apr: 297-311. doi: 10.2147/VHRM.S350108.
Jahangir E, De Schutter A, Lavie CJ. The relationship between obesity and coronary artery disease. Translational Research. 2014 Oct; 164(4): 336-44. doi: 10.1016/j.trsl.2014.03.010.
Katta N, Loethen T, Lavie CJ, Alpert MA. Obesity and coronary heart disease: epidemiology, pathology, and coronary artery imaging. Current problems in cardiology. 2021 Mar; 46(3): 100655. doi: 10.1016/j.cpcardiol.2020.100655.
Ghaddar F, Zeidan RK, Salameh P, Tatari S, Achkouty G, Schwalm FM. Physical activity and odds of coronary heart disease among Lebanese women. Atherosclerosis. 2021 Aug; 331: e157.
Alsaleh E and Baniyasin F. Prevalence of physical activity levels and perceived benefits of and barriers to physical activity among Jordanian patients with coronary heart disease: A cross-sectional study. Frontiers in Public Health. 2023 Jan; 10: 1041428. doi: 10.3389/fpubh.2022.1041428.
Elendu C, Amaechi DC, Elendu TC, Jingwa KA, Okoye OK, Fiemotonghan BE et al. Relationship between stress and coronary artery disease: A comprehensive review. Medicine. 2024 Feb; 103(5): e37066. doi: 10.1097/MD.0000000000037066.
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