High prevalence of cardiovascular risk factors in a Western urban Turkish population: a community-based study

Author(s):  
Belgin Unal ◽  
Kaan Sozmen ◽  
Reyhan Ucku ◽  
Gul Ergor ◽  
Ahmet Soysal ◽  
...  
2021 ◽  
Vol 10 (6) ◽  
pp. 1314
Author(s):  
Rebeca Lorca ◽  
Isaac Pascual ◽  
Andrea Aparicio ◽  
Alejandro Junco-Vicente ◽  
Rut Alvarez-Velasco ◽  
...  

Background: Coronary artery disease (CAD) is the most frequent cause of ST-segment elevation myocardial infarction (STEMI). Etiopathogenic and prognostic characteristics in young patients may differ from older patients and young women may present worse outcomes than men. We aimed to evaluate the clinical characteristics and prognosis of men and women with premature STEMI. Methods: A total 1404 consecutive patients were referred to our institution for emergency cardiac catheterization due to STEMI suspicion (1 January 2014–31 December 2018). Patients with confirmed premature (<55 years old in men and <60 in women) STEMI (366 patients, 83% men and 17% women) were included (359 atherothrombotic and 7 spontaneous coronary artery dissection (SCAD)). Results: Premature STEMI patients had a high prevalence of classical cardiovascular risk factors. Mean follow-up was 4.1 years (±1.75 SD). Mortality rates, re-hospitalization, and hospital stay showed no significant differences between sexes. More than 10% of women with premature STEMI suffered SCAD. There were no significant differences between sexes, neither among cholesterol levels nor in hypolipemiant therapy. The global survival rates were similar to that expected in the general population of the same sex and age in our region with a significantly higher excess of mortality at 6 years among men compared with the general population. Conclusion: Our results showed a high incidence of cardiovascular risk factors, a high prevalence of SCAD among young women, and a generally good prognosis after standardized treatment. During follow-up, 23% suffered a major cardiovascular event (MACE), without significant differences between sexes and observed survival at 1, 3, and 6 years of follow-up was 96.57% (95% CI 94.04–98.04), 95.64% (95% CI 92.87–97.35), and 94.5% (95% CI 91.12–97.66). An extra effort to prevent/delay STEMI should be invested focusing on smoking avoidance and optimal hypolipemiant treatment both in primary and secondary prevention.


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Caroline Liu ◽  
Kathryn Foti ◽  
Elizabeth Selvin

Introduction: There are five different definitions of prediabetes currently used in clinical practice. How cardiovascular risk may differ by these different definitions of prediabetes and whether trends in cardiovascular risk in persons with prediabetes have changed over time is largely uncharacterized. Hypothesis: We expect the prevalence of cardiovascular risk factors will vary by prediabetes definition and will be highest among those who meet clinical definitions with higher cutoff values. We hypothesize awareness, treatment and control of hypertension and hypercholesterolemia have increased over time among those with prediabetes. Methods: We analyzed data for adults ages ≥ 20 years from the 1999-2014 National Health and Nutrition Examination Survey (NHANES). We used calibrated HbA1c and FPG values to estimate prediabetes prevalence. We examined the prevalence and trends of hypertension and hypercholesterolemia among those who met each clinical definition of prediabetes, as well as awareness, treatment, and control. Results: The prevalence of prediabetes by each definitions remained stable across survey years. The prevalence, awareness, treatment, and control of hypertension and hypercholesterolemia by clinical definition modestly increased over time. Conclusion: The prevalence of hypertension and hypercholesterolemia was higher among individuals who met HbA1c-based definitions of prediabetes than other measures and was highest when more restrictive criteria for prediabetes were used. Awareness, treatment, and control of cardiovascular risk factors increased over time by any definition, but the high prevalence of cardiovascular risk factors highlights the need for improvement in risk factor management in people with prediabetes.


2014 ◽  
Vol 04 (01) ◽  
pp. 042-045
Author(s):  
Joby Francis ◽  
Josmi Jose ◽  
Joyse K. Sunny ◽  
Juvairiya U. S. ◽  
Sanil Varghese

Abstract:Coronary Heart Disease (CHD) is the leading cause of death in the world. While it is well established as the foremost contributor to mortality in most developed countries, it is also a major and rapidly rising cause of death in many developing countries. To assess the existing knowledge of people regarding cardiovascular risk factors. This community based descriptive study was conducted to assess the knowledge regarding cardiovascular risk factors among community people. They were selected through Non probability convenient sampling and pre-validated semi-structured questionnaire related to various aspects of cardiovascular risk factors used. The data was analyzed using SPSS version 16 and the results expressed as proportion. A total of 100 community people surveyed, majority of the participants (98%) had average level of knowledge regarding cardiovascular risk factors. There was a significant association between knowledge and age (x2 =5.09, p<0.05). There was a significant association between knowledge and education (X2 =4.38, p<0.05). Majority of the participants (76%) did not have family history of heart diseases. The study reflects that majority of the participants (98%) had average level of knowledge regarding cardiovascular risk factors. Hence it is necessary to educate the people in community regarding cardio vascular risk factors.


2013 ◽  
Vol 4 (2) ◽  
pp. 112-115 ◽  
Author(s):  
Jayalakshmy Ramakrishnan ◽  
Sumanth Mallikarjuna Majgi ◽  
Kariyarath Cheriyath Premarajan ◽  
Subitha Lakshminarayanan ◽  
Susila Thangaraj ◽  
...  

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