Gender Disparity among Patients with Ischemic Heart Disease in a Tertiary Care Hospital in Mangalore.

Autor: M., Sudharani, laxmi M, Vijaya, Laxmi S., Bhagya, A. M., Amrutha
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 8, p546-556, 11p
Abstrakt: Background: In women coronary artery disease is not only lethal but a contributor to morbidity and disability. It is assumed that exposure to endogenous oestrogens during the reproductive period delays the manifestation of atherosclerosis. This study was done to assess the gender disparities in established risk factors of Ischemic Heart Disease (IHD). Methodology: A cross sectional study was conducted in Cardiac Intensive Care Unit, General Medicine wards and Cardiology wards of tertiary care hospital, K S Hegde Charitable Hospital Mangalore. Total 700 cases were collected in a period of one year who were admitted for management of coronary artery disease. Patients undergoing and those who have already undergone the interventional procedures either elective or emergency were considered. Data thus collected by interview, clinical examination and laboratory investigations were entered in structured pretested proforma. Data entry and management was done in excel. The data sets were transferred into SPSS after data cleaning and recoding with data definitions. Prevalence and proportions were be used for all quantitative data. Results: Salient sex based differences were found in some coronary artery disease risk factors. Significant number of female subjects affected by coronary artery disease had positive family history (p=0.0032). Majority of affected women were Sedentary at work (p<0.01). Women had more abdominal obesity (p<0.01), Diabetes Mellitus (p=0.0016) and hypertension (p=0.0018) compared to men. Males were at risk who were sedentary at leisure time. Even history of alcohol consumption and smoking contributed to ischemic heart disease. Conclusion: Positive genetic history, physical activity, waist circumference, history of smoking and alcohol consumption, diabetes and hypertension were found to be of higher risk in females. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index