Risk factors for ischemic heart disease [IHD] were compared between a group of 42 patients under forty years [mean 34 years] with IHD and an age an d sex matched control group of 45 patients.
Six risk factors were analyzed; family history, hyperlipidemia, smoking, hypertension, obesity and diabetes mellitus. Patients with IHD had higher incidence of positive family history 57% vs 35.5% [p=0.02] , a higher incidence of hyper-tension 47.6% vs 4.4% [p<0.001] as well as hyperlipidemia 63.2% vs 33.2% [p=0.01] . Also patients with IHD had higher smoking history 42.8% vs 24.4% [p=0.03] and diabetes mellitus 35.7% vs 0% [p<0.001] . The difference in incidence of obesity was not significant between both groups. One year follow up of patients under 40 years who sustained myocardial infarctions showed that only 39% remained asymptomatic. Mortality rate was 4.5% and the rest had complications during this period
J. Akhter ,N. Islam ,J. Khan ,
Risk factors and outcome of ischemic heart disease in young Pakistani adults,
Specialist Q. 1993;
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