Coronary artery disease in young patients: clinical review and risk factor analysis.

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dc.contributor.authorUddin, S Nen_US
dc.contributor.authorBegum, Fen_US
dc.contributor.authorMalik, Fen_US
dc.contributor.authorRahman, Sen_US
dc.date.accessioned2003-01-29en_US
dc.date.accessioned2009-05-27T03:53:07Z
dc.date.available2003-01-29en_US
dc.date.available2009-05-27T03:53:07Z
dc.date.issued2003-01-29en_US
dc.descriptionMymensingh Medical Journal.en_US
dc.description.abstractFifty consecutive younger patients (< or = 40 years) with coronary artery disease, who underwent coronary angiography in National Institute of Cardiovascular Diseases were evaluated clinically and coronary risk factors were analyzed and compared with those of fifty older patients with coronary artery disease. Mean age of younger and older patients were 37.31 and 54.58 years respectively and myocardial infarction was the most common presenting complain in both the groups. Smoking and family history of premature coronary artery disease were more common in younger patients but the older patients were more diabetic and hypertensive. Central obesity and dyslipidemia did not vary between the two groups. Fifty percent of younger patients had one or two modifiable risk factors where sixty four percent of older patients had three or more modifiable risk factors. Forty four percent younger patients had hypercholesterolemia but a majority of patients had either isolated hypertriglyciredemia or decrease high density lipoprotein cholesterol or both with normal total cholesterol level but the total cholesterol and high density lipoprotein cholesterol index were more than 4.5. Younger patients had more number of normal coronary or single vessel diseases but older group had more number of triple vessel diseases. So the higher incidence of non-insulin dependent diabetes mellitus with central obesity suggesting insulin resistance along with unique profile of dyslipidemia, higher incidence of smoking and familial predisposition of premature coronary artery disease may be responsible for higher incidence of coronary artery disease at a premature younger age in this population.en_US
dc.description.affiliationMymensingh Medical College.en_US
dc.identifier.citationUddin SN, Begum F, Malik F, Rahman S. Coronary artery disease in young patients: clinical review and risk factor analysis. Mymensingh Medical Journal. 2003 Jan; 12(1): 3-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/1276
dc.language.isoengen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshBangladesh --epidemiologyen_US
dc.subject.meshBody Compositionen_US
dc.subject.meshComorbidityen_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Artery Disease --epidemiologyen_US
dc.subject.meshDiabetes Mellitus --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHyperlipidemias --epidemiologyen_US
dc.subject.meshHypertension --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMyocardial Infarction --epidemiologyen_US
dc.subject.meshObesity --epidemiologyen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSex Distributionen_US
dc.subject.meshSmoking --epidemiologyen_US
dc.titleCoronary artery disease in young patients: clinical review and risk factor analysis.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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