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Risk factors among medically indigent women < or = 45 years old with angiographically proven obstructive coronary

D Luke Glancy1, Akbar Shah, Ruba Azzam

  • 1Department of Medicine, Louisiana State University, School of Medicine, New Orleans, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|May 17, 2002
PubMed

Insights

Coronary arterial disease (CAD) is common in young, medically indigent women. Key predictors of obstructive CAD include symptoms, smoking, and diabetes mellitus.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Coronary arterial disease (CAD) risk factors are understudied in young, medically indigent women.
  • This demographic exhibits higher CAD prevalence compared to more affluent populations.

Purpose of the Study:

  • To assess risk factors for angiographically proven CAD in young, medically indigent women.
  • To compare risk factor prevalence between women with and without obstructive CAD.

Main Methods:

  • A 2-year study included 165 medically indigent women aged 45 or younger undergoing coronary arteriography.
  • Risk factor prevalence was compared between 100 women with obstructive CAD and 65 with non-obstructive or no CAD.

Main Results:

  • Both groups presented high rates of standard CAD risk factors.
  • Obstructive CAD was more frequent in women who smoked, had diabetes mellitus, a family history of CAD, or a prior myocardial infarct.

Conclusions:

  • Coronary arterial disease is not rare in young, medically indigent women.
  • Symptoms, smoking, and diabetes mellitus are the strongest predictors of obstructive CAD in this population.
Abstract

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