CORONARY ARTERY DISEASE IN INDIAN WOMEN

Abstract

Mohammed Umar Farooque1, Bharat Bhushan2

BACKGROUND
Cardiovascular disease is the leading cause of death among women regardless of race or ethnicity accounting for deaths of 1 in 3 women.
The aim of the study is to identify the important risk factors contributing to the coronary artery disease in Indian women.
MATERIALS AND METHODS Study conducted on 120 women patients of age >40 yrs. visiting a female outpatient department of Jawahar Lal Nehru Medical College, Bhagalpur, who presented with complaints related to CAD cases diagnosed from the electrocardiogram findings, clinical features and biochemical marker as per World Health Organization guidelines.
RESULTS 50-59 years age group is most effected group in study with 44.2%. Most of the women are of postmenopausal age group. The maximum number of cases was seen in upper lower socioeconomic status (37.5%) followed by lower (19.2%). CAD incidence was minimum in upper class. Chest pain was the main complaint in patients, next in frequency was sweating and followed by breathlessness. The major risk factors in the study group were hypertension (74.1), diabetes (63.3), sedentary habits (49.1), stress (34.2), family history (29.2) and tobacco consumption (21.8). 25 patients had obesity and 54 peoples were overweight. In our study, 48 patients had 3 children, 19 had more than 3 children. 61.7% of the patients are with hypercholesterolaemia, which most of the patients found with 2 vessel block is most common blocks observed.
CONCLUSION
Despite this delay in onset, mortality from coronary heart disease is increasing more rapidly among women than men.

image