Opium addiction and severity of coronary artery disease; a case-control study

Introduction: Cardiovascular disease (CAD) is the leading cause of morbidity and mortality in the world. So, determination of the risk factors and high risk groups plays an important role in the prevention and controlling programs. The aim of present study was determine the relationship between the...

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Main Authors: Mohammad Massomi, Armita Shahesmaeili, Ali Mirzazadeh, Marjan Tavakoli, Arghavan Zia Ali
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://journals.mui.ac.ir/jrms/article/view/3880
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author Mohammad Massomi
Armita Shahesmaeili
Ali Mirzazadeh
Marjan Tavakoli
Arghavan Zia Ali
author_facet Mohammad Massomi
Armita Shahesmaeili
Ali Mirzazadeh
Marjan Tavakoli
Arghavan Zia Ali
author_sort Mohammad Massomi
collection DOAJ
description Introduction: Cardiovascular disease (CAD) is the leading cause of morbidity and mortality in the world. So, determination of the risk factors and high risk groups plays an important role in the prevention and controlling programs. The aim of present study was determine the relationship between the opium consumption and the severity of CAD.
 
 Methods: In this hospital based case-control study, we recruited 299 patients candidate for coronary angiography from 2006 to 2007.The history of opium addiction was asked in all subjects. According to the duration of opium consumption, we categorized the individuals into three groups, non-users, occasional users and currently-users .The relationship between opium addiction and severity of CAD was analyzed using logistic regression model. 
 
 Results: we analyzed the data of 299 cases, which included 84 (28.09%) as the control group, 81 (27.09%) as non-significant and monovessel CAD and the remaining 134 (44.82%) as multivessel CAD group. Univariat analysis showed that currently users had a higher odds of severity CAD in compare to control group with OR=2.06 (CI95% 1.22-3.49, P=0.007). Multivariate analysis showed a significant relationship between age, diabetes, hyperlipidemia, male gender and severity of coronary artery stenosis. Currently users had a higher odds of severity CAD in compare to the control group with the adjusted OR 1.82 (CI95% 0.93 – 3.58, P=0.08), but anymore wasn’t significant
 
 Conclusion: The findings indicated that currently opium users – in compare to non-users - have a higher risk for severe CAD .But it is roughly confounded by other co-factors such as cigar smoking, age and sex. We have seen a dose-response between the type of opium consumption and the severity of CAD, but the relationship was not significant.
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spelling doaj.art-9f72f8a721c446bd8c05b18b455455cb2022-12-22T00:38:24ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362010-01-011512732Opium addiction and severity of coronary artery disease; a case-control studyMohammad MassomiArmita ShahesmaeiliAli MirzazadehMarjan TavakoliArghavan Zia AliIntroduction: Cardiovascular disease (CAD) is the leading cause of morbidity and mortality in the world. So, determination of the risk factors and high risk groups plays an important role in the prevention and controlling programs. The aim of present study was determine the relationship between the opium consumption and the severity of CAD.
 
 Methods: In this hospital based case-control study, we recruited 299 patients candidate for coronary angiography from 2006 to 2007.The history of opium addiction was asked in all subjects. According to the duration of opium consumption, we categorized the individuals into three groups, non-users, occasional users and currently-users .The relationship between opium addiction and severity of CAD was analyzed using logistic regression model. 
 
 Results: we analyzed the data of 299 cases, which included 84 (28.09%) as the control group, 81 (27.09%) as non-significant and monovessel CAD and the remaining 134 (44.82%) as multivessel CAD group. Univariat analysis showed that currently users had a higher odds of severity CAD in compare to control group with OR=2.06 (CI95% 1.22-3.49, P=0.007). Multivariate analysis showed a significant relationship between age, diabetes, hyperlipidemia, male gender and severity of coronary artery stenosis. Currently users had a higher odds of severity CAD in compare to the control group with the adjusted OR 1.82 (CI95% 0.93 – 3.58, P=0.08), but anymore wasn’t significant
 
 Conclusion: The findings indicated that currently opium users – in compare to non-users - have a higher risk for severe CAD .But it is roughly confounded by other co-factors such as cigar smoking, age and sex. We have seen a dose-response between the type of opium consumption and the severity of CAD, but the relationship was not significant.http://journals.mui.ac.ir/jrms/article/view/3880Coronary artery disease, Opium consumption, Risk factor
spellingShingle Mohammad Massomi
Armita Shahesmaeili
Ali Mirzazadeh
Marjan Tavakoli
Arghavan Zia Ali
Opium addiction and severity of coronary artery disease; a case-control study
Journal of Research in Medical Sciences
Coronary artery disease, Opium consumption, Risk factor
title Opium addiction and severity of coronary artery disease; a case-control study
title_full Opium addiction and severity of coronary artery disease; a case-control study
title_fullStr Opium addiction and severity of coronary artery disease; a case-control study
title_full_unstemmed Opium addiction and severity of coronary artery disease; a case-control study
title_short Opium addiction and severity of coronary artery disease; a case-control study
title_sort opium addiction and severity of coronary artery disease a case control study
topic Coronary artery disease, Opium consumption, Risk factor
url http://journals.mui.ac.ir/jrms/article/view/3880
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