ABSTRACT
To examine the traditional risk factors and biochemical profile of patients with established CAD [coronary artery disease], and compare the trends of these in specified age groups of different populations as depicted in various studies. All consecutive patients below 45 years of age, having classical history of Ischemic heart disease and also having definite ECG changes consistent with coronary artery disease were enrolled. These patients were admitted to CCU/Intermediate Coronary Care Unit of Pakistan Ordinance Factories [POF] Hospital Wah Cantonment from April 2007 to December 2011. Patients who had doubtful history as regards CHD and those having ECG changes not classically consistent with CAD were excluded. Information collected through Performa included history including family history and details of risk factors. Clinical examination was carried out and relevant investigations including the serial ECG changes were recorded. Blood samples were collected after an overnight fast of 14 hours and tests were done for total cholesterol and HDL cholesterol by using Pioneer-USA, linear chemical kits by cholesterol oxidase and enzymatic calometric method. A total of 109 cases were included. Cigarette smoking [46%] Family history [43%], Hypertension [37%], Dyslipidemia [33%], Diabetes mellitus [18%] and above normal BMI [63.3%] are the most common risk factors in our patients. Increased abdominal girth has appeared to be an important risk factor and at occasions is documented to be independent of obesity. Casual dietary habits and sedentary life style are the other less important risk factors. The majority of risk factors were equally prevalent in males as well as females except smoking which was less prevalent in females. Our study shows that Family history, Smoking, Hypertension, increased BMI, increased Abdominal girth, Dyslipidemia and Diabetes Mellitus are the main risk factors. Considering the increasing incidence of the coronary heart disease in our society it is essential to assess and evaluate these risk factors at national level
Subject(s)
Humans , Male , Female , Risk FactorsABSTRACT
As study was planned to document the seroprevalence of HBsAg and HCV antibodies in hospital workers compared to age-matched volunteer healthy blood donors. The study was conducted at PNS Shifa Hospital Karachi from November 2001 to October 2003. Study group comprised of 305 voluntary hospital workers including 60 doctors, 101 female nurses and attendants, 116 male nurses and attendants and 18 sweepers. Control group comprised of 300 aged matched volunteer blood donors, 90 males and 30 females. A performa was designed to record various findings. Sera of subjects were tested by a standard method for the presence of HBsAg and HCV antibodies. Study group comprised 70 [23%] doctors, 60 males and 10 females. HBsAg was positive in 1[1.43%] and HCV antibodies in 2[2.85%]. Among 101[33%] of the female nurses and attendants, HBsAg was positive in 03 [3%] and HCV antibodies in 8[8%]. Among 116 [38%] male nurses and attendants, 04 [3.44%] were HBsAg positive and 07 [6.03%] HCV antibodies positive. Among 18[6%] khakrobs and sweepers 1[5.56%] was HBsAg positive and 2[11.11%] were HCV antibodies positive. In total 10[3.27%] hospital workers were found positive for HBsAg and 18 [5.90%] positive for HCV antibodies. In voluntary blood donors, HBsAg was detected in 2.4% and HCV antibodies in 3.2%. It is conduced that the seroprevalence of HBsAg is marginally higher in hospital workers while seroprevalence of HCV antibodies is reasonably higher in hospital workers compared to general healthy population