One-year Follow-up of the Distribution of Dyslipidemias among Cameroonian Diabetic Patients in Ngaoundere, 2014-2015
Journal Title: Cardiology and Angiology: An International Journal - Year 2017, Vol 6, Issue 4
Abstract
Background: Diabetes constitutes an important faction of the health and economic burden worldwide and its occurrence continues to rise especially in developing countries. Aim: To study the distribution in dyslipidemia occurrence over a period of 1 year in a diabetic and non-diabetic population in Ngaoundere. Methodology: This was a cross sectional case control study carried out at the Hypertension and Diabetes units of the Ngaoundere Regional and Protestant Hospitals from June 2015 to February 2016. All participants provided a written consent and were subjected to a questionnaire. Blood pressure and anthropometric parameters were measured and venous blood collected for fasting blood glucose, lipid profile, glycated hemoglobin and uric acid analysis using commercially acquired kits. Data were organized and analyzed using an Excel spreadsheet and SPSS version 20.0. respectively, with statistical significance considered at p < 0.05. Results: Of the 321 participants enrolled, 191 were diabetic and 130 non-diabetic having sex ratios (F/M) of 1.3 and 1.1 respectively. Compared to the 73.3% dyslipidemia, 28.9% hypercholesterolemia, 15.6% hypertriglyceridemia and 28.9% mixed hyperlipidemia reported by the authors in the same diabetic population a year earlier, the occurrence of dyslipidemias, hypercholesterolemia, hypertriglyceridemia and mixed hyperlipidemia were 59.7%, 49.5%, 7.0% and 3.2%. Likewise, similar trends were observed with the corresponding non-diabetic control groups. 39 patients (20.4%) and 29 controls (22.3%) had knowledge on cholesterol, while 9.9% of diabetic participants had tested for blood cholesterol levels at some point. Conclusion: We observed meaningful drops in the occurrence of hypertriglyceridemia, mixed hyperlipidemia, and a rise in hypercholesterolemia among diabetics and nondiabetics, with a low level of awareness on dyslipidemias. Much is needed in sensitizing and controlling cardiometabolic risks towards improving the management of diabetic patients in our context.
Authors and Affiliations
Olivier Pancha Mbouemboue, Alvine Motche Touko, Habibah Salamath Haman, Pelagie Djenabou Amanissa, Fadimatou Bello Damdam, Jacques Olivier Ngoufack, Marcel Tangyi Tamanji
Left Ventricular Hypertrophy and Incidence of Acute Coronary Heart Disease and Mortality in the Reasons for Geographic and Racial Differences in Stroke Study (REGARDS)
Objective: To examine the relationship between left ventricular hypertrophy (LVH) and the incidence of acute coronary heart disease (CHD) and mortality in the modern era. Methods: We studied 16, 390 black and white par...
Atypical Cardiac Autonomic Neuropathy Identified with Entropy Measures
Aims: To identify Cardiac Autonomic Neuropathy (CAN) from a range of measures extracted from Heart Rate Variability (HRV), including higher moments of RR intervals and a spectrum of entropy measures of RR intervals. Stud...
Coronary Anomalies: Understanding of Normal Coronary Artery Development for Insight in Treatment of Coronary Artery Disease
Coronary artery anomalies (CAA) are rare congenital abnormalities with incidence of about 1% in the general population.2Unfortunately, despite the low incidence, CAA can cause sudden cardiac death. Identifying the course...
Hammock Bridge on Fire: Complete AV Block in a Patient with Congenitally-corrected Transposition of the Great Arteries and Wolff-Parkinson-White
Aims: To recognize heart block as a complication associated with congenitally-corrected transposition of the great arteries (CCTGA). Presentation of the Case: A healthy 36 year old male with CCTGA presented with syncope...
Relationship of Edentulism, Sleep Disordered Breathing and Cardiovascular Disease: NHANES, 2007-2008
Background: Edentulism, though declining in younger adults, remains prevalent in the U.S. older adult population. Poorer health outcomes, including cardiovascular outcomes have been associated with edentulism. Sleep diso...