Correlation Of Lipid Profile And Diet With Premature Coronary Heart Disease In Kirkuk City-Iraq

Yıl 2013, Cilt: 13 Sayı: 1, 11 - 15, 01.01.2013

Suhela Shams El-deen Tahir Mohammed Abdul-aziz Kadir Nihad Abdul Jabar Jalal

Öz

This study was carried out on 160 patients with documented coronary heart disease (CHD) who attended the private medical clinics in Kirkuk city during the period from beginning of August 2009 to the end of July 2011. Their ages were below 40 years old. Full history was taken from each patient, in addition to laboratory investigations regarding risk factors.From 160 patients, 112 were males and 48 were females. The ratio of males to females was 2.5: 1. It was found that the highest rate of CHD was among earners, followed by housewives and officials. The middle economic status and patients on mixed diet had highest rate of CHD.Patients fed on extra-meal had higher CHD than those who had no extra-meal.From 160 patients only 10 patients were practicing regular exercise. The highest rate of CHD was among hypertensive patients while the lowest rate was among diabetic patients.All patients in this study had high level of cholesterol and triglyceride while the level of HDL, LDL and VLDL were within high risk level, meanwhile the value of serum uric acid and blood sugar were within normal range.

Anahtar Kelimeler

Coronary heart disease, cholesterol, triglyceride

Lipid Profili ve Diyetin Irak-Kerkük’te Prematür Koroner Kalp Hastalıkları İle İlişkisi

Öz

Özet: 

Bu çalışma, Ağustos 2009’un başından Haziran 2011 sonuna kadar, Kerkük’teki özel muayenehanelere başvuran, koroner kalp hastalığı (KKH) bulunan, yaşları 40’ın altında olan, 160 hasta üzerinde yapılmıştır. Hastalardan tam tıbbi hikayeleri alınmış ve risk faktörlerini dikkate alarak, laboratuar tetkikleri istenmiştir.

160 hastadan, 112 ‘si erkek, 48’i kadın olup, erkeklerin kadınlara oranı 2.5:1 idi. En yüksek KKH oranı sırasıyla ücretli çalışanlarda, ev kadınlarında ve resmi kurum çalışanlarında bulunmuştur. Orta ekonomik düzeydeki, karışık diyetle beslenen hastalarda saptanmıştır. Ekstra öğün alanlarda almayanlara göre KKH daha yüksek bulunmuştur. 160 hastadan sadece 10 tanesi düzenli egzersiz yapmakta idi. En yüksek KKH oranları hipertansif hastalarda bulunurken, en düşük oran diabetic hastalar arasında saptanmıştır. Bu çalışmaya katılan tüm hastaların kolesterol ve trigliserid düzeyleri yüksek iken, HDL, LDL, VLDL düzeyleri, yüksek risk düzeyinde, serum ürik asit ve kan şekeri düzeyleri ise normal sınırlarda bulunmuştur.

Anahtar Kelimeler

Koroner kalp hastalığı, kolesterol, trigliserid

Kaynakça

• Haslett, C.; Chilvers, E. R.; Hunter, J.A.A. and Boon , N. A. (1999) Davidson’s Principles and Practice of Medicine. 18th. Edit, Churchill Livingstone, London.
• Andreoli, T.; Bennett, J. C.; Carpenter, C. C. J.; Plum. F. (1997) Cecil Essentials of Medicine. 3rd. edit. International Edition, W. B. Saunders, company, Philadelphia, London.
• Jacobs, E.J.; Thun, M. J. and Apicella, L.F (1999) Cigar smoking and death from coronary heart disease in a prospective study of US men. Arch. Intern. Med., 159 (20), 2413-2418.
• Boon , N.A.; Fox, K. A. A. and Bloomfield, P. (1999) Diseases of the cardiovascular system. In “Davidson’s Principles and Practice of Medicine (1).
• Fournier, J.A.; Sanchez, A.; Quero, J.; Fernandez-Cortacen, J. A. (1996) Myocardial infarction in men aged 4 years or less, a prospective clinical-angiographic study. Clin. Cardiol., 1996, 19, 631-636.
• Marshall, W.J. (1997) Clinical Chemistry 3 rd. edit. M. Mosby, London, P. 220.
• Fauci, A. S.; Braunwald, E.; Isselbacher, K. J. et al (1998) Harrison’s Principles of Internation Medicine. 14th. Edition.Companion Handbook. McGraw-Hill Health Professions Division.. New york.
• Al-Hashimi, A.H. (1997) Reliability of serum lipid levels within 36 hours of onest of acute myocardial infarction. J. Comm.Med., 1, 40-42
• Lribarren, C.; Sidney, S.; Sternfed, B. and Browner, W.S. (2000) Calcification of the Aortic Arch. Risk factors and association with coronary heart disease, stroke, and peripheral vascular disease. JAMA, Middle East, X, 62-69. Al-Hity, W.A. (1998) Risk factors in ischaemic heart disease (Myocardial infarction) in patients admitted to the CCU at Saddam General Hospital in Ramadi. Iraqi J. Comm. Med., 11, 93-97.
• Saleh, A. (2002). Unstable angina in a young patient. Saudi. Med. J., 23, 109.
• Whitby, L.G.; Smith, A.F. and Beckett, G.J. (1988) lecture Notes on Clinical Chemistry . 4th. Edit. Blackwell scientific Publications, Oxford, London, Edinburgh P. 233.
• Laurence, D.R. and Bennett, P.N. (1992) Clinical Pharmacology. 7th. Edit. ELBS with Churchill Livingstone, P..3
• Singh, Y; Srivastava, S; Ahmad, S; Mishra, S.K.; Shirazi, N; Raja, M; and Verma, S.K. (2010) Is lipid treated index the strongest predictor of premature coronary artery disease in North India. JIACM, 11(3), 175-179.
• Bistritzer, T; Rosenzweig, L; Barr, J; Mayer, S; Lahat, E; Faibel, H; Schlesinger, Z and Aladjem, M. (1995) Lipid profile with paternal history of coronary heart disease before age Arch. Dis. Child, 73, 62-65.
• Al-Ramadhani, A.H.; Tabow, M.F.; Sayegh, A.H.; Al-Jawadi, A.; Kattabe, E. and Yassin, A. K. (1987) Smoking Epidemic A Danger to Health and Society. Technical Series: 2.
• Grundy, S.M. (2000) Cholesterol Management in the era of managed care. Am. J. Cardiol., 85 (3A), 3A-9A.
• Stone, N. J. (1998) Primary prevention of coronary disease. Clin. Corner Stone, 1 (1), 31-49.
• Correspondencing author: MOHAMMED ABDUL-AZIZ KADIR, College OF MEDICINE, KIRKUK e-mail: [e-mail]