Rural-Urban and Gender Differences in Risk Factors for Acute Coronary Syndrome
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 7
Abstract
An emic approach in the identification of risk factors for Acute Coronary Syndrome (ACS) is important as their relative importance may vary between genders and across different backgrounds. The current study was undertaken with the aim to determine the rural –urban and gender difference among these risk factors, if any. It was a cross sectional study conducted on 100 patients of ACS aged above 40 years. The selected participants were interviewed using a pre-designed questionnaire which included socio-demographic factors, behavioural / life –style factors, significant past and family history and self-reported conditions that are risk factors for ACS. The male to female ratio of 1.08 in the study indicated rising trends of ACS in women. Female patients (mean age 62.65 ± 11.93) were significantly older than their male counterparts (mean age 56.38 ±11.68). Hypertension (44%) was the most common risk factor followed by hypercholesterolemia (37%), while obesity was the least common risk factor (11%).Compared with male patients females had greater prevalence of hypertension, diabetes, low HDL-C and central obesity. Males outnumbered females only for smoking as risk factor. There was no significant urban –rural difference in the prevalence of any of the risk factors. The current study brings out that Coronary artery disease is no longer a disease limited to men or urban population. Since most of the risk factors for ACS are modifiable, therefore early identification is vital to set the strategy for prevention.
Authors and Affiliations
Nikhil Govil
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