Relationship of dyslipidemia and uric acid with the risk of myocardial infarction among hypertensive patients in Trinidad

Abstract

Objectives: To study the relationship of dyslipidemia and serum uric acid with the risk of myocardial infarction among the hypertensive type 2 diabetic and non-diabetic patients of Trinidad.Methods: Data were obtained from the hospital records of 672 adults who were treated for hypertension in public health clinics in Trinidad.Results: The prevalence of myocardial infarction was 25.45% in the sample. Males accounted for 52.63% while females accounted for 47.37%. Hypertensive type 2 diabetics with dyslipidemia had greater occurrence of MI (23.93%) than non-diabetic hypertensive patients (7.67%) (p = 0.008). Useful predictors of MI included: diabetes mellitus, altered lipid profile, family history of any cardiac conditions. On further analysis, hypertension class (p = 0.003) and serum uric acid quartile (p = 0.029) were also significant predictors of MI.Conclusions: The results suggest that there is a greater prevalence of MI in hypertensive type 2 diabetic patients with dyslipidemia than in non-diabetic hypertensive patients in Trinidad.