Study on Risk Factors and Pattern of Coronary Artery Involvement in Young Acute Coronary Syndrome Patients

Ahmad, Tanveer; Mm, Alam; Khan, Aziz; Islam, Akm Monwarul; Hossain, Zakir; Asaduzzaman, Khondoker

doi:10.3329/bhj.v32i1.34169

Cited by 8 publications

(11 citation statements)

References 11 publications

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“…This was comparable to the findings of study conducted by Sharma et al where positive family history was found in 50% of cases [5]. Study by Ahmad et al observed positive family history of IHD in 30% cases [4].…”

Section: Discussionsupporting

confidence: 89%

“…istribution of cases according to outcomes of ACS (56%) were hypertensive which is comparable to studies by Ahmad et al [4], Yusuf et al [7] who reported hypertension in 69.3% and 39.02% cases respectively. In the present study, diabetes The finding was comparable to studies by Yusuf et al [7] and Ahmad et al [4]. Dylipidemia is a well for ACS.…”

Section: N (Nstemi)supporting

confidence: 84%

“…In our study we observed that 56 cases of ACS [4]. Dylipidemia is a well established risk factor for ACS.…”

Section: Discussionmentioning

confidence: 50%

“…In the present study majority of the cases (32%) were in the age group of 61-70 years and mean age of the cases was 60.44 ± 12.84. This was [4] where the mean age of ACS in elderly was 56.9 ± 8.7 years. Significant association was found between positive family history of ischemic heart disease (30% cases) and occurrence of ACS.…”

Section: Discussionmentioning

confidence: 99%

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Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Attri

Kaur

Sibia

et al. 2020

JAMMR

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Introduction: CAD is the most common cause of mortality in India. It is a common multifarious public health crisis today and a leading cause of morbidity and mortality in both developing and developed countries. Hence, understanding the predominant risk factors among the Indian population is important. Materials and Methods: This was a hospital based age and sex matched case control study, carried out at Government Medical College and Rajindra Hospital Patiala. A total of 100 patients of Acute coronary syndrome were studied. Patients and controls were enquired about the presence of cardiometabolic risk factors and the significance of association of these risk factors with the occurrence of Acute coronary syndrome was given by p value of <0.05. Results: Majority of the cases were in the age group 61-70 years (32%) with male to female ratio of 1.25:1. Significant association was found between ACS and risk factors like smoking, positive family history of IHD, hypertension, diabetes, dyslipidemia, waist hip ratio and body mass index. Overall, most common outcome of ACS in the present study was NSTEMI (45%) followed by STEMI (35%) followed by Unstable angina (20%). Conclusion: Significant association was found between smoking and occurrence of STEMI and significant association was found between Hypertension and occurrence of NSTEMI.

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Section: Discussionsupporting

confidence: 89%

Section: N (Nstemi)supporting

confidence: 84%

“…In our study we observed that 56 cases of ACS [4]. Dylipidemia is a well established risk factor for ACS.…”

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Attri

Kaur

Sibia

et al. 2020

JAMMR

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“…There is a recent increase in the incidence of CAD and to be precise acute myocardial infarction among the young population in this region. [5][6][7] This study is an attempt to assess the role of various risk factors and the pattern of involvement of coronary arteries in patients with angina to prevent further cardiovascular disease morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Study on risk factors and angiographic pattern of coronary artery involvement in patients presenting with angina

et al. 2019

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Background: Coronary artery disease has become a global health problem affecting a significant portion of population in developed as well as the developing countries. The objective of the present endeavor is to study the pattern of coronary artery involvement by coronary angiography in patients with angina and to correlate the risk factors with the pattern of coronary artery involvement.Methods: This study was done as a cross sectional study on 50 patients with angina, attending the department of Medicine and Cardiology in Aarupadai veedu medical college hospital, Pondicherry from January 2018 to March 2018, who later underwent coronary angiogram. All patients of both sexes aged above 18 years presenting with history of angina both stable and unstable were included in the study, while those with previous history of congestive cardiac failure, malignant diseases, chronic kidney disease, autoimmune disorders were excluded from the study. Study was carried out in all patients fulfilling the inclusion and exclusion criteria. Data with regards to age, sex, diabetes, dyslipidemia were collected and analysed by appropriate statistical methods.Results: A total of 50 patients with 30 males and 20 females presented with anginal chest pain, of the total 50 patients, 19 were smokers, 9 had family history of coronary artery disease, 31 patients had hypertension, 14 had diabetes and 39 of the study population had dyslipidemia. Coronary angiography showed 48% of the study population had a single vessel disease and 32% with double vessel disease. Left anterior descending artery (LAD) was predominantly involved with 25 (50%) of total cases. Single vessel disease was common among those with hypertension and dyslipidemia.Conclusions: Coronary artery disease (CAD) is common in young adults. Dyslipidemia, hypertension and smoking are the most important risk factors associated with CAD. Left anterior descending artery is commonly involved in CAD followed by right coronary artery.

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Risk factors, lab parameters, angiographic characteristics and outcomes of coronary artery disease in young South Asian patients: a systematic review

Agrawal,

Lamichhane,

Eghbali

et al. 2023

J Int Med Res

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This systematic review provides a qualitative summary of the risk factors, angiographic characteristics, treatment, and complications of young South Asians with coronary artery disease (CAD). PubMed, Embase, and Google Scholar were searched to identify research articles published between 1 January 2010 and 13 November 2022. Studies in patients aged 18 to 45 years that were conducted in South Asian countries, were published in the English language, and included information on patients’ clinical profiles and at least two risk factors for young CAD were included in the review. Smoking, dyslipidemia, high body mass index, increased high-sensitivity C-reactive protein, and hyperhomocysteinemia were observed in high proportions in young patients with CAD. Single-vessel disease was more common than multi-vessel disease in young CAD. The complications of CAD such as arrhythmias, cardiogenic shock, and heart failure were also commonly observed in young patients. Large-scale health promotion activities that curb modifiable risk factors such as smoking, obesity, and a sedentary lifestyle should be conducted in South Asian countries.

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Study on Risk Factors and Pattern of Coronary Artery Involvement in Young Acute Coronary Syndrome Patients

Cited by 8 publications

References 11 publications

Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Study on risk factors and angiographic pattern of coronary artery involvement in patients presenting with angina

Risk factors, lab parameters, angiographic characteristics and outcomes of coronary artery disease in young South Asian patients: a systematic review

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