Abstract
Introduction: The age-standardized death rate of coronary heart disease has shown a downward trend in many developed countries while an upward trend has been seen in developing countries with demographic changes, urbanization, and lifestyle changes. The aims of our study were to study the prevalence of cardiovascular risk factors (CVRFs), socioeconomic determinants and explore the relationship between CVRFs and angiographic severity of coronary artery disease (CAD) in a cohort of patients awaiting coronary artery bypass graft (CABG). Methods : It was a cross-sectional descriptive study. One hundred and forty one consecutive male patients with angiographically diagnosed CAD were selected. We examined the relationship between traditional CVRFs and atherosclerotic burden assessed by different vessel scores. Results: Mean (SD) age of the subjects was 56 (8) years. The prevalence of CVRFs was high in the study group. Majority of them were in the lower socioeconomic status (SES). The analysis indicated that there were no significant correlations or a significant predictive value of CVRFs with the severity of CAD . Conclusions: Severity of coronary artery disease estimated by angiographic scores appears to correlate poorly with established traditional cardiovascular risk factors. DOI: http://dx.doi.org/10.4038/gmj.v19i2.7909 Galle Medical Journal 2014 19(2): 12-17
Highlights
The age-standardized death rate of coronary heart disease has shown a downward trend in many developed countries while an upward trend has been seen in developing countries with demographic changes, urbanization, and lifestyle changes
Table 1shows the prevalence of cardiovascular risk factors, demographic and socioeconomic characteristics of the patients
The prevalence of overweight and obesity (60.2%) was higher with the use of lower cut off values (≥ 23 kgm2 as over weight) defined for the Asian populations by International Association for the Study of Obesity (IASO), and the International Obesity Task Force (IOTF) [17]
Summary
The age-standardized death rate of coronary heart disease has shown a downward trend in many developed countries while an upward trend has been seen in developing countries with demographic changes, urbanization, and lifestyle changes. The aims of our study were to study the prevalence of cardiovascular risk factors (CVRFs), socioeconomic determinants and explore the relationship between CVRFs and angiographic severity of coronary artery disease (CAD) in a cohort of patients awaiting coronary artery bypass graft (CABG). The age-standardized death rate of coronary heart disease has shown a downward trend in many developed countries while an upward trend has been seen in developing countries such as Sri Lanka with demographic changes, urbanization, and lifestyle changes [1,2]. The aims of our study were to characterize socioeconomic determinants, CVRFs and explore the relationship between CVRFs and angiographic severity of CAD in a cohort of patients awaiting coronary artery bypass graft.
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