Potential gains of screening family members of suspected coronary artery disease: A pilot study

Abstract

Background:Early diagnosis of asymptomatic coronary artery disease (CAD) is presently targeted in preventive cardiology. A positive family history though not modifiable can provide a window of opportunity for intervening on modifiable risk factors. We assessed the prevalence of risk factors among the family members of suspected CAD patients and estimated their 10 years CAD risk.Methods:In a hospital-based cross-sectional study, socio-demographic, personal data and blood samples for total and HDL cholesterol were collected. The risk of having a heart attack in the next 10 years was calculated using Framingham Risk Score.Results:The mean age of participants (n = 60) was 40.55 ± 1.78 years. 85% were physically inactive. Smoking (13%), alcohol use (12%), history of CAD (2%), HTN (12%) and diabetes (22%) were the observed risk factors. A family history of CAD at <40 years of age was reported by 7% of subjects. Prevalence of overweight was 21% and 11% were obese. Increased waist-hip ratio (43%), diabetes (22%), hypercholesterolemia (28%), reduced HDL Cholesterol (48%) were other prevalent risk factors. Risk of CAD of >1% in the next 10 years was noted among 60% of subjects.Conclusions:Window of opportunity for secondary prevention exists among the family members of suspected CAD.

Social, economic, technological, and environmental factors affecting cardiovascular diseases: A systematic review and thematic analysis

“…It may be more helpful to consider a chronic disease as an “eco-disease,” with its environmental and behavioral contributors, and consider nutritionally dependent chronic diseases as “eco-nutritional diseases.”[ 113 ] Furthermore, socioeconomic and psychosocial factors exert influence on health, and also the development, progression, and prevention of diseases. [ 114 115 ] Scientific evidence suggests that low SES, social isolation, psychosocial stress, hostility, and depression have a negative effect on CVD. Recommendations for promoting behavioral changes and the management of psychosocial and lifestyle factors in clinical practice include strategies for promoting a healthy lifestyle, improving interactions between healthcare providers and patients, implementing multimodal interventions, and managing psychosocial risk factors.…”

Relationship between Severity and Complexity of Coronary Artery Involvement and Obstructive Sleep Apnea Based on STOP-BANG questionnaire

“…About CAD as one of the leading causes of mortality and morbidity, primary prevention is preferred to treatment. [ 15 ] A Meaningful relationship between CAD and OSA results in subsequent planning for OSA management in a proper way to prevent its detrimental effects on CAD. Although several studies investigated this relationship, controversial results were achieved.…”

Exploring the Cardiovascular Disease Risk Factor Perception and Barriers Faced among Working Women

“…Creating awareness about the risk factors of CAD amongst patients and their family members and counseling for modification may help in reducing the burden. [ 6 ] Hence, researches need to be planned to explore the perception of risk factors for CVDs among working women. The use of simple markers like Resting Heart rate (RHR) for the assessment of severity and complexity of CAD will benefit the general public especially working women in the future.…”