Prevalence and Risk Factors for Acute Coronary Syndrome Among Sudanese Individuals With Diabetes: A Population-Based Study

Ahmed, Mohamed H.; Awadalla, Heitham; Elmadhoun, Wadie M; Osman, Mugtaba; Noor, Sufian K.; Almobarak, Ahmed O.

doi:10.14740/cr616w

Cited by 14 publications

(12 citation statements)

References 28 publications

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“…In this study, we showed the level of HbA1c and duration of diabetes are important risk factors for stroke. Several epidemiological studies in Sudan showed that high HbA1c and duration of diabetes can be associated with diabetes complications like diabetic septic foot, heart failure, retinopathy, nephropathy and ischemic heart disease [7][8][9]19,20] HTN was also one of the risk factor in our study especially with an increase in duration of diabetes. Importantly, Tagelsir et al showed that HTN and smoking in Sudanese individuals diagnosed with stroke were associated with significant changes in carotid arteries.…”

Section: Discussionsupporting

confidence: 53%

“…For instance, Ahmed et al found that the prevalence of acute coronary syndrome among Sudanese individuals with diabetes was 5.44% and main risk factors were HTN, an increase in age and increase in duration of diabetes. [7] The prevalence of heart failure in Sudanese individuals with diabetes was found to be 12.06% and risk factors were HTN and high cholesterol. [8] In the view of high level of uncontrolled diabetes, it is possible to predict high level of diabetes complications in Sudan.…”

Section: Introductionmentioning

confidence: 97%

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The prevalence and risk factors of stroke among Sudanese individuals with diabetes: Cross-sectional survey

et al. 2020

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INTRODUCTION: Diabetes complications in Sudan were increasing at an alarming rate. The aim of this study was to assess the prevalence of stroke among Sudanese individuals with diabetes. METHODOLOGY: This cross-sectional study recruited 283 individuals with diabetes from three diabetes centers in Sudan. Data were collected using a standardized pretested questionnaire, and data were analyzed using Chi-square and logistic regression analysis. RESULTS: The average age of participants was 51 (±12 standard deviation) and 35% were aged between 51 and 60 years. Females were 66.8%, and most of the participants (73.9%) were from urban areas and 66.1% received formal education between primary school and university. Body mass index (BMI) classification showed that 34.3% were obese, 31.8% overweight, and 30.4% normal BMI. Diabetes for 1-5 years were observed in 71.7% and for more than 10 years (12%). The majority, i.e., 94.3% had type 2 diabetes mellitus while only 5.7% had type 1. Only one-third of the participants were able to achieve glycosylated hemoglobin (HbA1c) target for diabetes control. The prevalence of cerebrovascular accident (CVA) was 2.5%, hypertension (HTN) was 20%, ischemic heart disease 3.2%, and neuropathy was 45.6%. Chi-square test showed significant association between HbA1c, serum creatinine, total cholesterol, triglyceride, low density lipoprotein, high density lipoprotein level, and the presence of CVA. Logistic regression analysis showed HbA1c, and the duration of diabetes are significantly associated with the presence of CVA (P = 0.010, 0.014). CONCLUSION: The prevalence of stroke among Sudanese individuals with diabetes was around 2.5%. The main risk factors were HbA1c, HTN, and duration of diabetes.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 97%

The prevalence and risk factors of stroke among Sudanese individuals with diabetes: Cross-sectional survey

et al. 2020

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“…The prevalence of ACS in the Middle East differed from one country to another. For instance, it was 6% in Saudi Arabia (at 2004), 8.3% in Egypt (at 2001) and 13% in Lebanon (at 2008) 4 . However, by 2030, this prevalence is expected to rise due to increasing rates of hypertension, DM, overweight, obesity, physical inactivity, smoking and dyslipidemia 4 …”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, hypertension was found in 24% of the present series vs. 54.4% in the previous Iraqi study 6 . Diabetes mellitus is a well known absolute risk factor for ACS 4, 8. The outcome is reported to be poor even among non-diabetic ACS patients who have hyperglycemia on admission especially if associated with increased body fat 8, 9.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for acute coronary syndrome in patients below the age of 40 years

Mirza¹,

Taha

Khdhir

2018

The Egyptian Heart Journal

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BackgroundAcute coronary syndrome (ACS) refers to a spectrum of symptoms compatible with acute myocardial ischemia. Plasma markers of inflammation have been recently identified as diagnostic aid and risk predictors. The present study, conducted in Slemani Cardiac Hospital (SCH), Sulaimaniyah, Iraq aimed to recognize some risk factors for ACS in Iraqi adults younger than 40.MethodologyThis is a prospective case-control study of 100 patients with ACS vs. a control group of 100 healthy volunteers. The study began at 1st January 2014 and ended at 31st December 2016. All patients were subjected to full history taking, clinical examination including measurement of waist circumference and body mass index (BMI). Investigations included electrocardiography (ECG), echocardiography, full blood count, measurement of lipid profile and C-reactive protein (CRP). The patients were managed by percutaneous coronary intervention (PCI).ResultsThe mean age of the patients was 36 years (range 28–40). Eighty-five% of patients were male. The mean BMI (29 kg/m2) and waist circumference (98 cm) of the patients were higher than the controls (24 kg/m2 and 72 cm respectively). The leukocytes, lymphocytes and neutrophil counts as well as CRP in both groups were within the normal range. The most prevalent risk factor was obesity (n = 86). Other risk factors were smoking (n = 62), hypertension (n = 26), diabetes mellitus (n = 22) and positive family history of ACS (n = 24). Most patients (n = 83) had multi-vessel coronary artery disease (2–3 vessels).ConclusionACS in young adults is an increasing health problem. Obesity was found to be the most prevalent risk factor.

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“…Type 2 diabetes mellitus, comprises almost 90% burden of the disease and the remaining 10% are type 1 diabetes or gestational diabetes [ 3 ]. Recent reports have shown that diabetes and its related complications were major health problem in Sudan [ 4 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of glycemic control in type 2 diabetes in the Eastern Sudan

et al. 2018

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ObjectivesA cross-sectional study was conducted in Gadarif, eastern Sudan to assess glycaemic control among adult patients with type 2 diabetes in eastern Sudan. Poor glycaemic control was defined as HbA1c level of ≥ 7.0%. Questionnaire was used to gathered sociodemographic and clinical characteristics.ResultsA total of 339 patients (69.9% were women) were enrolled in the study. The mean age of the participants was 54.8 (12.8) years. Approximately more than two-thirds (n = 243, 71.7%) of the participants were using oral glucose control agents. A round one-fifth (22.1%) of the participants were using insulin and only 6.2% of them were using both insulin and oral glucose control agents. The rate of poor glycemic control was 71.9%. In logistic regression analyses, duration of diabetes, medications used, and the triglycerides were not associated with poor glycemic control. However, being unmarried (OR = 3.64, 95% CI 1.21–10.90), adding sugar to the drinks (OR = 1.84, 95% CI 1.11–3.05, P = 0.017) and high cholesterol level (OR = 1.01, 95% CI 1.01–1.02.) were associated with poor glycemic control. In summary the rate of uncontrolled type 2 diabetes mellitus was considerably high especially among being unmarried patients and patients who were adding sugar to the drinks.

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Prevalence and Risk Factors for Acute Coronary Syndrome Among Sudanese Individuals With Diabetes: A Population-Based Study

Cited by 14 publications

References 28 publications

The prevalence and risk factors of stroke among Sudanese individuals with diabetes: Cross-sectional survey

The prevalence and risk factors of stroke among Sudanese individuals with diabetes: Cross-sectional survey

Risk factors for acute coronary syndrome in patients below the age of 40 years

Assessment of glycemic control in type 2 diabetes in the Eastern Sudan

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