Risk Factors of Coronary Artery Disease in Palestinian Patients Undergoing Coronary Angiography: A Case–Control Study
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 1
Abstract
Aims: To identify the most significant risk factors of coronary artery disease (CAD) in Palestinian patients undergoing coronary angiography. Study Design: A retrospective case control design. Place and Duration of Study: The study was conducted in the only two cardiac catheterization centers in Gaza strip, Palestinian territories (European center in the south and Julis center in the mid-zone) from June to September 2010. Methodology: Based on coronary angiography results, we recruited a systematic random sample of 100 cases formally diagnosed with CAD matched with sex to 100 controls who had normal findings and were free from the disease. Data was collected using a questionnaire which included socio-demographic data and health profile. Chi square, univariate and multivariate logistic regression were used to test the differences between cases and controls and to determine the predictors of CAD. Results: Most cases were male (72.9%), ≥50 years old (70%) and living in refugee camps (57.9%). The most common risk factors were physical inactivity (OR 3.96, P=0.002), hypertension (OR 2.73, P<0.001), diabetes (OR 2.21, P=0.006), LDL/HDL ratio ≥3 (OR 3.76, P<0.001), smoking (OR 1.96, P=0.031), positive family history (OR 2.12, P=0.012), multigravida (OR 10.5, P=0.034) and living in refugee camps (OR 1.92, P=0.023). Coronary artery disease was not significantly correlated with age, body mass index, unemployment and monthly income. Conclusion: Sedentary lifestyle, high LDL, low HDL, hypertension, diabetes, positive family history, smoking and multigravida remain the major modifiable risk factors of CAD among the Palestinians. Living in the refugee camps imposes more risk to have CAD. Gender differences indicated that the prevalence of CAD in males is more than females. Community-based interventions to promote exercise, family planning and smoking cessation in addition to improving the refugee life conditions may be crucial in decreasing the burden of coronary artery disease in Gaza strip.
Authors and Affiliations
Ashraf Eljedi, Mohammed Mushtaha
Keywords
Related Articles
- EP ID EP348189
- DOI 10.9734/BJMMR/2015/12348
- Views 46
- Downloads 0
Studies on Parasitaemia, Immunologic and Virologic Indices among Pregnant Mothers Living with HIV Attending Aminu Kano Teaching Hospital, Kano State-Nigeria
Aims: To determine the presence of malaria parasite and also examine the relationship between HIV infection and the severity of malaria. Study Design: A hospital based prospective cohort study was carried out among 200 p...
Comparison of Acidic versus Alkaline Environment for Furcation Perforation Repair among Calcium Silicate Based Materials: An in vitro Comparative Study
Aim: The aim of this study was to compare the effect of acidic and alkaline environment on the dislodgement resistance of White Pro Root Mineral Trioxide Aggregate and Biodentine when used as furcation perforation repair...
Validation of CK-19 and HBME-1 Expression Pattern in FNACs to Supplement Morphological Evaluation for Preoperative Diagnosis of Thyroid Lesions
Aim: Fine Needle Aspiration Cytology is the cost effective, quick and minimally invasive method for the initial evaluation of thyroid nodule. But it poses a diagnostic challenge in differentiating benign follicular aden...
Regenerated Bisphosphonate Related Osteonecrosis of the Jaws: Clinical Data of Eleven Cases
Aims: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is defined as the persistence of exposed necrotic bone in the oral cavity for 8 weeks or more in patients with current or previous history of BP use, despite...
Risk Factors and Pregnancy Outcome of Placental Abruption at the Niger Delta University Teaching Hospital, Okolobiri, South-South Nigeria
Aim: To determine the incidence, predisposing factors, clinical presentation and perinatal and maternal outcome of patients managed for abruptio placenta. Study Design: A retrospective review. Place and Duration of Study...