Risk factors for coronary artery disease in patients undergoing elective coronary angiography in Jordan

Al‐Shudifat, Abdel‐Ellah; Johannessen, Asgeir; Azab, Mohammed; Al-Shdaifat, Amjad; AbuMweis, Suhad S.; Agraib, Lana M.; Tayyem, Reema

doi:10.1186/s12872-017-0620-4

Cited by 16 publications

(25 citation statements)

References 16 publications

(14 reference statements)

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“…In some studies, low and moderate consumption of alcohol was found to be a protective factor for CAD, 17 but we found discrepant results because we did not categorize alcohol use as heavy or moderate. In addition to these two variables, as in most other studies, 4,22 occupation, diabetes mellitus, dyslipidaemia, obesity, family income, family history, physical activity, mental illness, and sleep disturbance were found to be significantly associated with CAD. In this study, there was a high prevalence of current smokers (39.2%) and ex-smokers (23.9%) presenting CAD.…”

Section: Discussionsupporting

confidence: 64%

“…36 In one study of non-smokers and current or previous smokers in Jordan, 56.7% of CAD patients were smokers and smoking doubled the risk of CAD compared to not smoking. 22 A significant association of past-year smoking was with CAD reported from patients hospitalized with coronary artery disease in an American population. 37 In a recent study among the Han population in China, gene-environment interactions between rs4886605 and smoking increased the risk of CAD.…”

Section: Discussionmentioning

confidence: 98%

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Association of smoking with coronary artery disease in Nepalese populations: a case control study

Basnet

Mallah

et al. 2019

Toxicology Research

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There are well-known traditional risk factors for coronary artery disease (CAD). Among them, smoking is one of the most prominent and modifiable risk factors. This study aims to determine the magnitude of smoking as a risk factor for CAD in the Nepalese population. A hospital-based age- and sex-matched case–control study was carried out with a total of 612 respondents. Bivariate analysis showed that the risk of developing CAD in ex-smokers and current smokers was higher (odds ratio (OR): 1.81 (confidence interval (CI): 1.21–2.7) and OR: 5.2 (CI: 3.4–7.97)), with p-values less than 0.004 and <0.00001, respectively, compared to the risk in never smokers. From stratified socio-demographic, cardio-metabolic, behavioural and psychosocial risk factor analysis, smoking was found to be associated with CAD in almost all subgroups. In the subsequent multivariate analysis, adjustment for socio-demographic, cardio-metabolic and psychosocial risk factors showed a steady increase in risk. However, further adjustment for behavioural risk factors (alcohol use and physical activity) showed that the risk was attenuated by 59% in current smokers. After adjusting for the covariates, current smokers and ex-smokers had an increased risk of CAD (OR: 6.64, 95% CI: 3.64–12.12, p < 0.00001; OR: 1.89, 95% CI: 1.08–3.31, p < 0.012, respectively) compared with non-smokers. In conclusion, smoking was found to increase the risk of CAD in the Nepalese population.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 98%

Association of smoking with coronary artery disease in Nepalese populations: a case control study

Basnet

Mallah

et al. 2019

Toxicology Research

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“…According to our results, smoking, HTN, DM, and dyslipidemia were all significantly more prevalent in CAD-AF patients. This is consistent with most regional studies about CAD risk factors [21][22][23]. In a study conducted in Iraq on patients undergoing coronary angiography for CAD, being a male, smoking, hypertension, hyperlipidemia, and a family history of CAD were all linked with premature CAD [21].…”

Section: Discussionsupporting

confidence: 85%

“…In a study conducted in Iraq on patients undergoing coronary angiography for CAD, being a male, smoking, hypertension, hyperlipidemia, and a family history of CAD were all linked with premature CAD [21]. Another similar study in Jordan found that DM and smoking were associated with CAD, although they did not find any significant association between HTN or dyslipidemia with CAD [22]. Alsaud et al found that most patients with CAD in Jordan have a cluster of more than one cardiac risk factor [23].…”

Section: Discussionmentioning

confidence: 96%

Prevalence, Epidemiological Characteristics, and Pharmacotherapy of Coronary Artery Disease among Patients with Atrial Fibrillation: Data from Jo-Fib Study

et al. 2021

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Background and Objectives: Patients with AF are at increased risk for Coronary Artery Disease (CAD) owing to their shared etiologies and risk factors. This study aimed to assess the prevalence, cardiovascular risk factors, and used medications of CAD in AF patients. Materials and Methods: This retrospective, case-control study utilized data from the Jordanian Atrial Fibrillation (Jo-Fib) registry. Investigators collected clinical features, history of co-existing comorbidities, CHA2DS2-VASc, and HAS BLED scores for all AF patients aged >18 visiting 19 hospitals and 30 outpatient cardiology clinics. A multivariable binary logistic regression was used to asses for factors associated with higher odds of having CAD. Results: Out of 2000 patients with AF, 227 (11.35%) had CAD. Compared to the rest of the sample, those with CAD had significantly higher prevalence of hypertension (82.38%; p < 0.01), hypercholesterolemia (66.52%, p < 0.01), diabetes (56.83%, p < 0.01), and smoking (18.06%, p = 0.04). Patients with AF and CAD had higher use of anticoagulants/antiplatelet agents combination (p < 0.01) compared to the rest of the sample. Females had lower CAD risk than males (OR = 0.35, 95% CI: 0.24–0.50). AF Patients with dyslipidemia (OR = 2.5, 95% CI: 1.8–3.4), smoking (OR = 1.7, 95% CI: 1.1–2.6), higher CHA2DS2-VASc score (OR = 1.5, 95% CI: 1.4–1.7), and asymptomatic AF (OR = 1.9, 95% CI: 1.3–2.6) had higher risk for CAD. Conclusions: Owing to the increased prevalence of CAD in patients with AF, better control of cardiac risk factors is recommended for this special group. Future studies should investigate such interesting relationships to stratify CAD risk in AF patients. We believe that this study adds valuable information regarding the prevalence, epidemiological characteristics, and pharmacotherapy of CAD in patients with AF.

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“…During the last 30 years, people in Jordan have experienced behavioral and lifestyle changes 3. These changes have led to a rise in the prevalence of all types of diabetes in Jordan and also an increase in the risk factors associated with diabetes such as poor quality nutrition, more consumption of fast food, low intake of fruits and vegetables, reduced physical activity, obesity, smoking and poor awareness of healthy weight among people in Jordan 3–5. Additionally, inviting guests for sharing meals which include high-calorie content is considered as a highly valued socio-cultural habit in the Arab World and may contribute to the high prevalence of diabetes in Jordan 3.…”

Section: Introductionmentioning

confidence: 99%

<p>Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review</p>

Al-Sahouri¹,

Merrell²,

Snelgrove³

2019

PPA

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Poorly controlled Type-2 diabetes is considered a significant public health problem and associated with adverse outcomes in Jordan. This review focuses on barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan. The aim was to identify the extent of Type-2 diabetes and the influence of knowledge, perceptions and sociocultural factors on adherence to the diabetes management plan. Thirty-two studies were included in the literature review. The high prevalence rate of poorly controlled Type-2 diabetes is associated with many negative consequences among patients in Jordan. Despite the publication of research findings that have shown the importance of adherence to diet, physical activity, medications, monitoring blood glucose and foot care, the level of adherence is still unsatisfactory among patients in Jordan. This review also identified that social, cultural and religious factors influence diabetes management. These factors highlighted the overwhelming influence of socio-cultural factors and lifestyles as determinants of patients’ health and health behaviors. For example, the influence of family, friends and culture on herbal use and food preferences that patients make on a daily basis and during social gatherings. A holistic approach incorporating patient-centered care could usefully be incorporated into educational programs to improve the understanding of patients’ health and information needs. The importance of factors beyond the individual level in terms of social, cultural, organizational and policy influences such as food habits, religious beliefs and lack of continuity of care were identified as key factors which influence adherence to the diabetes management plan. Recognition of multiple determinants of patients’ health among health care professionals may expand the scope of interventions to seek to modify social norms and values and improve patient outcomes.

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Risk factors for coronary artery disease in patients undergoing elective coronary angiography in Jordan

Cited by 16 publications

References 16 publications

Association of smoking with coronary artery disease in Nepalese populations: a case control study

Association of smoking with coronary artery disease in Nepalese populations: a case control study

Prevalence, Epidemiological Characteristics, and Pharmacotherapy of Coronary Artery Disease among Patients with Atrial Fibrillation: Data from Jo-Fib Study

<p>Barriers to good glycemic control levels and adherence to diabetes management plan in adults with Type-2 diabetes in Jordan: a literature review</p>

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