Objectives Acute Myocardial infarction (AMI) is the leading cause of mortality and morbidity both in men and women. The frequency and profile of conventional risk factors differs in women compared to men and in different age groups. The Aim To evaluate the conventional cardiovascular risk factors in young women with AMI and to compare it with other age and sex groups, in Durres population, Albania. Methods This study evaluated the prevalence of classic CHD risk factors in female patients with AMI aged ≤56 and compared it with female patients with AMI more than 56 years old and also with the male patients with AMI. 286 patients with AMI who presented in the Cardiology Department, Regional Hospital of Durres, Albania between January 2011 to March 2012 were included in the study. (9 pts female age≤56, 67 pts female age≥56 and 210 pts male). All subjects underwent detailed evaluation of cardiovascular risk factors. Patients were screened for the presence of diabetes mellitus, hypertension smoking and history of ischaemic heart disease in their first degree relatives. Lipid profile was recorded from the investigation chart of every patient. Results Diabetes was detected to be the most frequent coronary risk factor (29.2%) in young women with AMI. The prevalence of diabetes was 23.4% in women with AMI. Women with premature AMI (≤56 years old) were found to have a higher prevalence of diabetes compared to older women (29.2% vs 18.1%) p<0.01). The number of diabetics was significantly higher in women than men (23.4% vs 13.9%). The number of diabetics was significantly higher in younger women than younger men (age≤56, 29.2% vs 13.3%). Hypertension was second risk factor in younger female group and the most common risk factor in older female group (20.8% vs 33.3%). Cigarette smoking was found to be the least common risk factor in the younger female group but the most common in the younger male (27.5% vs 64.1%). Mean age in men was 60.29 ±10.84, mean age in women was 68.88±8.51 ( p<0.001). The mean age of female AMI patients was only 8.6 years more than male MI patients, which is less than the 10 years delay of MI in females reported in the literature. There were not statistical differences between women and men for history of ischaemic heart disease and lipid profile. Conclusions Our study show a higher prevalence of diabetes in young females compared with both older females and males with AMI. The higher prevalence of DM in young females may be associated with the decreasing difference of mean age between female E108Heart 2012;98(Suppl 2): E1-E319
Background Rheumatoid arthritis (RA) is a systemic autoimmune disease that causes chronic inflammation of the joints and surrounding tissues. In this paper we provide the first data on the incidence of AR in patients hospitalized in the University Hospital Center in the period 2004-2011. All cases are new cases with AR, for the first time in QSUT, during the study period. Objectives 1) to recognize the burden of AR disease in Albania; 2) to evaluate the trend of the disease in years; 3) to evaluate the occurrence of the disease in relation to age by gender. Methods All patients were evaluated clinically and laboratory blood samples for evaluation of FR, and were diagnosed according to the international criteria for diagnosis of AR. The data were obtained from hospital electronic registry 2004-2012 (Statistical Service, University Hospital Center), including patients aged ≥ 14 years, diagnosed for the first time with the AR. The data for the total number of the population were obtained from the registry Census 2001, INSTAT. Results 73.8% of the population affected with AR were female and 26.2% were male (F / M = 2.8 / 1). The average age of the total population was 48.94 ± 11.86 years. Annual incidence rate was 11/100 000. AR incidence for females was 15.9/100 000. and 5.8/100 000 for men. RA was rare in men under the age of 45 years. The incidence in men increased significantly with age The incidence for AR patients grows up to the age of 44-55 years, and declines sharply after the age of 65. Higher incidence of AR was seen in 2006 (11.07/100000), 2005 (11.62/100000) and in 2011 (12.87/100000). Conclusions AR is one of the most common diseases in the Albanian population. References Centers for Disease Control and Prevention. Prevalence and impact of arthritis among women--United States, 1989-1991.[erratum appears in MMWR Morb Mortal Wkly Rep 1995 Jul 14;44(27):517-8]. MMWR - Morbidity & Mortality Weekly Report. May 5 1995;44(17):329-334. Mili F, Helmick CG, Zack MM. Prevalence of arthritis: analysis of data from the US Behavioral Risk Factor Surveillance System, 1996-99. Journal of Rheumatology. Sep 2002;29(9):1981-1988. Elliott BA, Johnson KM, Leff RD, Day JJ. Arthritis in Indian country: determining the prevalence and effects. Ethnicity & Disease. Spring-Summer 2000;10(2):224-231. Wang PP, Elsbett-Koeppen R, Geng G, Badley EM. Arthritis prevalence and place of birth: findings from the 1994 Canadian National Population Health Survey. American Journal of Epidemiology. Sep 1 2000;152(5):442-445. Martin SA, Haren MT, Taylor AW, Middleton SM, Wittert GA, Florey Adelaide Male Ageing S. Chronic disease prevalence and associations in a cohort of Australian men: the Florey Adelaide Male Ageing Study (FAMAS). BMC Public Health. 2008;8:261. Schneider S, Schmitt G, Richter W. Prevalence and correlates of inflammatory arthritis in Germany: Data from the First National Health Survey. Rheumatology International. Nov 2006;27(1):29-38. Spector TD, Hart DJ, Powell RJ. Prevalence of rheumatoid arthritis and rheumatoid facto...
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