Key result
Smoking was the leading risk factor overall (65%) and in men (74%) with NSTEMI, while hypertension was the most frequent risk factor in women (67%).
Why the study?
Atherosclerotic epicardial coronary artery disease is the most common cause of myocardial ischemia, and risk factors correlate with its onset and complications, prompting determination of classic risk factor frequency in NSTEMI by gender.
Observational (n=600)
No
In patients presenting with NSTEMI, smoking is the most prevalent risk factor overall and in men, whereas hypertension is the most prevalent risk factor in women.
Sex differences in leading NSTEMI risk factors may guide individualized prevention; observational data leave open causal and outcome effects.
INTRODUCTION: The most common cause of myocardial ischemia is atherosclerotic epicardial coronary artery disease, present in 90% of patients. Risk factors positively correlate with the onset, development and subsequent complications of atherosclerotic disease. AIM: Determine the percentage frequency of classic risk factors for coronary disease in patients with non-ST segment elevation myocardial infarction (NSTEMI), with regard to gender. METHODS: A retrospective study was conducted on 600 respondents, treated for NSTEMI at the Clinic for Internal Medicine of the University Clinical Center (UKC) Tuzla, in the period from June 2016 to December 2019. RESULTS: Overall, smoking was the leading risk factor (65%), followed by hypertension (58%), hyperlipoproteinemia (39%), overweight (33%), positive family burden (30%) and diabetes mellitus (19%). In male patients, the leading risk factor was smoking, rating at 74%, while in female patients - it was hypertension at 67%. In younger groups of patients leading risk factors were smoking and a positive family burden. CONCLUSION: With adequate prevention and treatment measures, a significant reduction in the prevalence of the cardiovascular disease can be achieved, since the risk factors for its development have long been known. Quitting smoking is one of the most effective secondary prevention measure since it reduces the reinfarction risk rate by 50%. Knowledge of coronary risks, as well as success in reducing them, can greatly contribute to patients' overall sense of contentment and significantly raise their self-confidence.
No takes yet. Share an insight, caveat, or question.
Mršić et al. (2020) conducted an observational in Non-ST Segment Elevation Myocardial Infarction (NSTEMI) (n=600). Cardiovascular risk factors was evaluated on Percentage frequency of classic risk factors for coronary disease. Smoking was the leading risk factor overall (65%) and in men (74%) with NSTEMI, while hypertension was the most frequent risk factor in women (67%).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: