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Published on: March 27, 2018
Cardiovascular Risk Factors in Coronary Artery Bypass Graft Patients: Comparison Between Two Periods
Anas E Bifari1, Rakan K Sulaimani1, Yaser S Khojah1
1Medicine, College of Medicine, King Abdulaziz University, Jeddah, SAU.
Insights
Cardiovascular risk factors in Saudi Arabian coronary artery bypass graft patients showed a significant increase in smoking rates between 2012 and 2018. This highlights the need for targeted smoking cessation programs.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Limited data exists on cardiovascular risk factor trends in Saudi Arabian patients undergoing coronary artery bypass grafting (CABG).
- Understanding these trends is crucial for public health initiatives and patient management.
Purpose of the Study:
- To compare cardiovascular risk factors in patients who underwent first-time CABG in Saudi Arabia between 2012 and 2018.
- To identify significant changes in risk factor prevalence over this period.
Main Methods:
- A cross-sectional study analyzing hospital records from a tertiary center in Saudi Arabia.
- Reviewed medical records of 72 patients from 2012 and 111 patients from 2018.
- Statistical analysis included chi-square and independent t-tests, with P < 0.05 considered significant.
Main Results:
- The prevalence of smoking significantly increased from 14.3% in 2012 to 27.0% in 2018 (P < 0.001).
- While hypertension and diabetes mellitus showed slight increases, these were not statistically significant.
- Hypercholesterolemia showed a non-significant decrease from 18.3% to 17.1%.
Conclusions:
- A significant rise in smoking among CABG patients was observed, potentially linked to cultural factors and water-pipe smoking.
- Increased awareness and smoking-cessation programs are recommended for this patient population.
Abstract:
Background Information showing risk factor trends in patients undergoing coronary artery bypass graft in Saudi Arabia is scarce. Thus, we aimed to compare cardiovascular risk factors among coronary artery bypass graft patients between two periods: 2012 and 2018. Methods This was a cross-sectional study based on hospital records at a tertiary center in Saudi Arabia. The medical records of 72 patients in 2012 and 111 patients in 2018 were reviewed. The study included all patients who underwent coronary artery bypass grafting for the first time. The chi-square test and independent t-test were used for statistical analysis; P-values less than 0.05 were considered statistically significant. Results The mean (SD) of the patient age was 61.21 (9.74) years in the first period and 58.01 (11.14) years in the second period. The number of patients who smoked was significantly higher in the second period of the study (14.3% in the first period; 27.0% in the second period; P < 0.001). The study also showed an increase in hypertension and diabetes mellitus in the second period compared to the first (70% vs 71.2% and 68.6% vs 72.1%, respectively), and a reduction in the percentage of patients with hypercholesterolemia (18.3% vs 17.1%). However, these findings were non-significant. Conclusions The percentage of smokers was significantly higher in the second period of this research as a consequence of cultural variation and because of the popularity of water-pipe smoking in the society. We recommend the need for increased awareness regarding smoking and the implementation of smoking-cessation programs.
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