Prevalence of Traditional Risk Factors in First-Degree Relatives of Patients With Established Cardiovascular Disease

Poojan J Prajapati1, Vatsa Bhavsar1, Dakshey Bhatt2

  • 1Internal Medicine, B. J. Medical College, Ahmedabad, IND.

Cureus
|June 16, 2023
PubMed

Insights

The World Health Organization (WHO)/International Society of Hypertension (ISH) risk charts effectively identified cardiovascular disease risk in adults in Ahmedabad, India. Most participants fell into the low-risk category, enabling targeted interventions for those at higher risk.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Cardiovascular disease (CVD) poses a significant global health burden.
  • Accurate risk prediction is crucial for timely intervention and prevention strategies.
  • The World Health Organization (WHO)/International Society of Hypertension (ISH) risk charts offer a tool for estimating 10-year CVD risk.

Purpose of the Study:

  • To assess the 10-year cardiovascular disease risk among first-degree relatives of cardiology outpatients in Ahmedabad, India.
  • To evaluate the utility of WHO/ISH risk prediction charts in a specific Indian population.
  • To raise awareness about cardiovascular risk assessment within the studied group.

Main Methods:

  • A cross-sectional study was conducted with 372 first-degree relatives of patients at a cardiology outpatient clinic in Ahmedabad.
  • The WHO/ISH risk prediction chart for the South-East Asia Region D (SEAR D) was utilized.
  • Participants were categorized based on their calculated 10-year CVD risk.

Main Results:

  • The majority of participants (80.10%) were classified as low-risk (<10% 10-year CVD risk).
  • Moderate-risk (10-20%) and moderately high-risk (20-30%) categories comprised 8.33% and 7.25% of the study group, respectively.
  • A smaller proportion were identified as high-risk (30-40%) or very high-risk (>40%), accounting for 2.42% and 1.88%.

Conclusions:

  • WHO/ISH risk prediction charts are effective for rapid CVD risk assessment in resource-limited settings.
  • These charts facilitate the identification of high-risk individuals for focused preventive interventions.
  • The study highlights the importance of risk stratification in family members of cardiac patients.
Abstract

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
33
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
56
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
375
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
25
Relative Risk01:12

Relative Risk

Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
238
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
3.4K