Socio-medical Characteristics of Coronary Disease in Bosnia and Herzegovina and the World

Abstract

Introduction:Coronary heart disease and its etiology are complex socio-medical and clinical problem in this century. World Health Organization defined coronary artery disease as acute and chronic heart ailments due to disruption of flow and myocardial blood supply. Diseases of the cardiovascular system in spite of preventable risk factors are responsible for approximately 50% of all deaths in the developed world, and this ratio is higher in developing countries.Risk factors:Coronary heart disease risk factors can be divided in those which are not preventable such as: personal and family history of cardiovascular diseases, age and gender and preventable risk factors including: high blood pressure, elevated blood cholesterol, smoking, reduced physical activity, elevated blood sugar, increased body weight, alcohol use, psychosocial factors and nutrition. There are also newly emerging risk factors which includes increased homocysteine, thrombogenic and inflammatory factors. Prevention of coronary heart disease risk factors: The concept of risk assessment factors, their reduction, initially begun in the Framingham Heart Study and refined in other models. Primary prevention relates to changing lifestyle and influencing preventable risk factors. Numerous studies and meta-analysis showed that lifestyle modification, risk reduction factors, particularly by changing diet, stopping smoking, increasing physical activity, blood pressure control can be effective in the prevention and reduction of coronary heart disease. Primary health care physicians i.e. family physicians need to take an active role in assessment of risk factors for coronary heart disease.Conclusion:The data in this paper, based on the findings from other studies, suggest the importance of using a modified algorithm in order to estimates the overall risk of coronary disease in high-risk groups among the patients in the primary health care settings.

Knowledge and practices on prevention of coronary artery diseases in nepalese community: A cross-sectional from five different cities in Nepal

“…Primary prevention measures to be taken are to change lifestyles; reducing risk factors of paramount importance are to reduce morbidity and mortality from cardiovascular disease and improve the overall health of the population. Numerous studies and meta-analysis showed that lifestyle modification, risk reduction factors, particularly by changing diet, stopping smoking, increasing physical activity, blood pressure control can be effective in the prevention and reduction of coronary heart disease 15 . In this study among the respondents, 31.7% of them monitor blood pressure regularly, (92.1%) didn't do the blood sugar test whereas; only 7.9% had lab test to monitor the blood sugar, blood cholesterol was done by 3.9%.…”

The Impact of Risk Factors and Comorbidities on The Incidence of Atrial Fibrillation

“…In the USA, AF hospitalizations alone cost $6.65 billion in 2005. Costs and hospitalizations attributable to AF have increased markedly over recent decades and are expected to increase in future due to ageing populations ( 44 , 45 ).…”

Clinical effect of atorvastatin-trimetazidine combined treatment of coronary heart disease

“…Statins lipid-lowering drugs are usually used in clinical treatment because these drugs can effectively lower the TC and LDL-C levels of patients, provide antiinflammation, antioxidation, and improvement effects of vascular endothelial functions, and inhibit the formation of atherosclerotic plaques [6]. Meanwhile, Tatins drugs can also lower peripheral arterial pressure; hence, these drugs have been extensively applied in the treatment of diseases, such as atherosclerosis and hypercholesterolemia [7].…”