Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal
Background: Smoking, diabetes mellitus, hypertension and dyslipidemia are known as conventional risk factors of coronary artery disease (CAD) and the prevalence of it varies across populations. There is paucity of data in our country about the prevalence of risk factors for acute coronary syndrome (...
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| Format: | Article |
| Language: | English |
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Nobel Medical College Teaching Hospital
2017-08-01
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| Series: | Journal of Nobel Medical College |
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| Online Access: | https://www.nepjol.info/index.php/JoNMC/article/view/18087 |
| _version_ | 1818176936160002048 |
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| author | Rajesh Nepal Madhav Bista Abdul Khaliq Monib Manoj Kumar Choudhary Aakriti Bhattarai |
| author_facet | Rajesh Nepal Madhav Bista Abdul Khaliq Monib Manoj Kumar Choudhary Aakriti Bhattarai |
| author_sort | Rajesh Nepal |
| collection | DOAJ |
| description | Background: Smoking, diabetes mellitus, hypertension and dyslipidemia are known as conventional risk factors of coronary artery disease (CAD) and the prevalence of it varies across populations. There is paucity of data in our country about the prevalence of risk factors for acute coronary syndrome (ACS). This study aims to assess the prevalence of these conventional risk factors in patients who were admitted in Nobel medical college, with the diagnosis of ACS.
Material & Methods: In this observational study, we enrolled 102 patients diagnosed as ACS with stenosis ≥50% of any epicardial arteries as shown on angiography admitted in Nobel Medical College between September 2015 to March 2017 and evaluate the prevalence of conventional risk factors. In addition, we analyzed the lipid profiles within 24 hour of the event.
Results: Mean age of the patients was 59 years. Two third (66.7%) of the patients were male. Left anterior descending artery (43.13%) was the most common culprit lesion followed by RCA in 35.29%. Dyslipidemia was present in 73.5%, hypertension in 46.1%, smoking in 38.2% and diabetes in 37.3%. Prevalence of hypertension, diabetes and dyslipidemia was similar among male and female. Smoking (44.1%vs26.5%) was more common in male (P=<0.05). TG ≥150 mg/dl was seen in 52% study population and higher level of TG was seen in younger population ≤45 years compared to ≥45 years old (p=0.013).
Conclusion: Present study showed high prevalence of hypertension, smoking, diabetes and dyslipidemia in patients with ACS, suggesting the need of aggressive risk factor reduction in general population.
Journal of Nobel Medical College
Volume 6, Number 1, Issue 10 (January-June, 2017), page: 48-55 |
| first_indexed | 2024-12-11T20:24:06Z |
| format | Article |
| id | doaj.art-3e3467d120634af2b19e09f58013be22 |
| institution | Directory Open Access Journal |
| issn | 2091-2331 2091-234X |
| language | English |
| last_indexed | 2024-12-11T20:24:06Z |
| publishDate | 2017-08-01 |
| publisher | Nobel Medical College Teaching Hospital |
| record_format | Article |
| series | Journal of Nobel Medical College |
| spelling | doaj.art-3e3467d120634af2b19e09f58013be222022-12-22T00:52:00ZengNobel Medical College Teaching HospitalJournal of Nobel Medical College2091-23312091-234X2017-08-0161485510.3126/jonmc.v6i1.1808718087Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of NepalRajesh Nepal0Madhav Bista1Abdul Khaliq Monib2Manoj Kumar Choudhary3Aakriti Bhattarai4Department of Internal Medicine, Cardiology Unit, Nobel Medical College Teaching Hospital, BiratnagarDepartment of Internal Medicine, Cardiology Unit, Nobel Medical College Teaching Hospital, BiratnagarDepartment of Internal Medicine, Cardiology Unit, Nobel Medical College Teaching Hospital, BiratnagarDepartment of Internal Medicine, Cardiology Unit, Nobel Medical College Teaching Hospital, BiratnagarDepartment of Internal Medicine, Cardiology Unit, Nobel Medical College Teaching Hospital, BiratnagarBackground: Smoking, diabetes mellitus, hypertension and dyslipidemia are known as conventional risk factors of coronary artery disease (CAD) and the prevalence of it varies across populations. There is paucity of data in our country about the prevalence of risk factors for acute coronary syndrome (ACS). This study aims to assess the prevalence of these conventional risk factors in patients who were admitted in Nobel medical college, with the diagnosis of ACS. Material & Methods: In this observational study, we enrolled 102 patients diagnosed as ACS with stenosis ≥50% of any epicardial arteries as shown on angiography admitted in Nobel Medical College between September 2015 to March 2017 and evaluate the prevalence of conventional risk factors. In addition, we analyzed the lipid profiles within 24 hour of the event. Results: Mean age of the patients was 59 years. Two third (66.7%) of the patients were male. Left anterior descending artery (43.13%) was the most common culprit lesion followed by RCA in 35.29%. Dyslipidemia was present in 73.5%, hypertension in 46.1%, smoking in 38.2% and diabetes in 37.3%. Prevalence of hypertension, diabetes and dyslipidemia was similar among male and female. Smoking (44.1%vs26.5%) was more common in male (P=<0.05). TG ≥150 mg/dl was seen in 52% study population and higher level of TG was seen in younger population ≤45 years compared to ≥45 years old (p=0.013). Conclusion: Present study showed high prevalence of hypertension, smoking, diabetes and dyslipidemia in patients with ACS, suggesting the need of aggressive risk factor reduction in general population. Journal of Nobel Medical College Volume 6, Number 1, Issue 10 (January-June, 2017), page: 48-55https://www.nepjol.info/index.php/JoNMC/article/view/18087acute coronary syndromediabetesdyslipidemiahypertensionsmoking |
| spellingShingle | Rajesh Nepal Madhav Bista Abdul Khaliq Monib Manoj Kumar Choudhary Aakriti Bhattarai Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal Journal of Nobel Medical College acute coronary syndrome diabetes dyslipidemia hypertension smoking |
| title | Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal |
| title_full | Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal |
| title_fullStr | Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal |
| title_full_unstemmed | Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal |
| title_short | Prevalence of Conventional Risk Factors in Acute Coronary Syndrome Patients in Eastern Part of Nepal |
| title_sort | prevalence of conventional risk factors in acute coronary syndrome patients in eastern part of nepal |
| topic | acute coronary syndrome diabetes dyslipidemia hypertension smoking |
| url | https://www.nepjol.info/index.php/JoNMC/article/view/18087 |
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