Key result
Obesity was the most prevalent risk factor (86%) among adults younger than 40 years with acute coronary syndrome, followed by smoking (62%) and hypertension (26%).
Why the study?
What are the most prevalent risk factors for acute coronary syndrome in adults younger than 40 years?
Case-Control (n=200)
No
What are the most prevalent risk factors for acute coronary syndrome in adults younger than 40 years?
Obesity and smoking are the most prevalent risk factors for acute coronary syndrome in Iraqi adults under 40 years of age.
BACKGROUND: Acute coronary syndrome (ACS) refers to a spectrum of symptoms compatible with acute myocardial ischemia. Plasma markers of inflammation have been recently identified as diagnostic aid and risk predictors. The present study, conducted in Slemani Cardiac Hospital (SCH), Sulaimaniyah, Iraq aimed to recognize some risk factors for ACS in Iraqi adults younger than 40. METHODOLOGY: This is a prospective case-control study of 100 patients with ACS vs. a control group of 100 healthy volunteers. The study began at 1st January 2014 and ended at 31st December 2016. All patients were subjected to full history taking, clinical examination including measurement of waist circumference and body mass index (BMI). Investigations included electrocardiography (ECG), echocardiography, full blood count, measurement of lipid profile and C-reactive protein (CRP). The patients were managed by percutaneous coronary intervention (PCI). RESULTS: and 72 cm respectively). The leukocytes, lymphocytes and neutrophil counts as well as CRP in both groups were within the normal range. The most prevalent risk factor was obesity (n = 86). Other risk factors were smoking (n = 62), hypertension (n = 26), diabetes mellitus (n = 22) and positive family history of ACS (n = 24). Most patients (n = 83) had multi-vessel coronary artery disease (2-3 vessels). CONCLUSION: ACS in young adults is an increasing health problem. Obesity was found to be the most prevalent risk factor.
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Mirza et al. (2018) conducted a case-control in Acute coronary syndrome (n=200). Cardiovascular risk factors vs. Healthy volunteers was evaluated on Prevalence of obesity. Obesity was the most prevalent risk factor (86%) among adults younger than 40 years with acute coronary syndrome, followed by smoking (62%) and hypertension (26%).
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