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Conventional risk factors among newly diagnosed coronary heart disease patients in Delhi
Sanjiv K Bhasin1, Shridhar Dwivedi, Ali Dehghani
1Sanjiv K Bhasin, Ali Dehghani, Rahul Sharma, Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi 110095, India.
Insights
Inadequate physical activity and abnormal lipid profiles are key risk factors for coronary heart disease (CHD) in Delhi, India. Most patients exhibited sedentary lifestyles and multiple risk factors, highlighting the need for targeted prevention programs.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Coronary heart disease (CHD) poses a significant health burden globally, with particularly high mortality rates among Indian populations.
- Understanding regional risk factor distribution is crucial for effective cardiovascular disease prevention strategies.
Purpose of the Study:
- To investigate the prevalence of conventional risk factors in newly diagnosed coronary heart disease (CHD) patients admitted to a tertiary care hospital in Delhi, India.
- To identify the most common risk factors contributing to CHD in this specific demographic.
Main Methods:
- A prospective, hospital-based study involving 276 consecutive newly diagnosed CHD cases.
- Data collection focused on conventional risk factors including physical activity levels, lipid profiles, and tobacco use.
Main Results:
- The average age of CHD patients was 49.7 years; inadequate physical activity (96.4% sedentary lifestyle) and abnormal lipid profiles were the most prevalent risk factors.
- A majority of patients were current (53.3%) or lifetime (68.1%) tobacco smokers.
- Every patient presented with at least one risk factor, and over a quarter (76 patients) had six or more risk factors.
Conclusions:
- The study underscores the high prevalence of multiple conventional risk factors, particularly sedentary lifestyle and abnormal lipid profiles, in newly diagnosed CHD patients in Delhi.
- Findings emphasize the critical need for location-specific epidemiological studies to develop tailored prevention and control programs for cardiovascular events in India.
Aim:
To analyze the conventional risk factors among newly diagnosed cases of coronary heart disease (CHD) admitted to a hospital in Delhi, India.
Methods:
This hospital-based prospective study included 276 consecutive newly diagnosed cases of CHD in the Coronary Care Unit of a tertiary care hospital in Delhi.
Results:
The mean age of the cases was 49.7 ± 9.5 years, with the youngest case aged 27 years. The two risk factors present most frequently among the cases were inadequate physical activity and abnormal lipid profile. Just about 3.6% of cases in our study had a physical activity level (PAL) that could be termed as "active", with a large proportion (96.4%) having a PAL suggestive of a sedentary lifestyle. A majority of patients were found to be current tobacco smokers (53.3%) and 188 (68.1%) subjects were lifetime ever smokers. There was not a single case who did not have one or more of the risk factors. More than one-quarter (n = 76) had six or more of the studied risk factors.
Conclusion:
Indians have among the CHD highest mortality rates amongst all ethnic groups studied so far. It is important to study the regional epidemiology of the cardiovascular events to allow for location-specific prevention and control programs.
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