Vascular Disease in Young Indians (20-40 years): Role of Ischemic Heart Disease

Dalal, Jamshed; Hiremath, M.S.; Das, Mrinal Kanti; Desai, Devangkumar M; Chopra, Vijay; Biswas, Arup Das

doi:10.7860/jcdr/2016/20206.8517

Cited by 9 publications

(8 citation statements)

References 59 publications

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“…These results are in line with a study by Ros Endah et al, which showed that an age >40 years was associated with IHD (16). In contrast, Fournier et al and an analysis of INTERHEART data in South Asians showed that myocardial ischemia (MI) was found in younger populations, with incidences of almost 4% and 11,7% respectively in the age group <40 years (17,18).…”

Section: Discussionsupporting

confidence: 89%

Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia

Indriyati

Nurhayati

et al. 2021

JKB

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<p>Ischemic Heart Disease (IHD) is one of the leading causes of morbidity and mortality in many countries, including Indonesia. Therefore, cardiovascular risk-prediction models are required in clinical practice for early detection in high-risk populations, including the worker population. This study intends to develop a predictive risk measure for early detection of IHD incidences among employees in Jakarta, Indonesia. Source of data was the database of 4,100 medical check-up (MCU) results of employees and entrepreneurs in Jakarta and surrounding areas in January to October 2019. Multivariate analysis showed that being aged >40 years (p=0.000; OR=5.329 (95% CI 2.621-10.833)), having a history of dyspnea (p=0.000; OR=5.699 (95% CI 2.524-12.871)), smoking (p=0.048; OR=2.007 (95% CI 1.924-4.359)) and HDL<50 mg/dL (p=0.049; OR=1.811 (95% CI 1.099-3.281)) were all good predictors to detect IHD in the worker population. The combination of these predictors results with a cut-off point of 2.5, showed accuracy (79.2% sensitivity and 66.3% specificity). Workers who have a score >2.5 are at high risk of developing IHD in the future. This scoring system can be used by workers or companies to take early preventive measures.</p>

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Section: Discussionsupporting

confidence: 89%

Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia

Indriyati

Nurhayati

et al. 2021

JKB

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“…276,277 This absence in pediatric guidelines should mayhap be revisited, considering that blood pressure in childhood and adolescence tracks into adulthood (reviewed in 278 ) and hypertension is a major risk factor specifically for early CVD. 79 In this dissertation, we found that more than half (56.8%) of the adolescents with T2D (Table 3.1) and 2.5% of 10 to 35-year-olds in Manitoba (Table 4.1) had been diagnosed with hypertension. These rates are higher than those reported in the 2007-2009 Canadian Health…”

Section: Intrauterine Diabetes Exposure As a Novel Risk Factor For Cvdmentioning

confidence: 76%

“…73 Obesity and hypertension are major contributors specifically for early CVDone that develops before 45 years of age. 78,79 The combination of rising rates of diabetes in pregnancy and development of modifiable CVD risk factors early in life suggests a rising burden of early CVD in future generations.…”

Section: Cardiovascular Diseases and Early Adulthoodmentioning

confidence: 99%

Intensive gestational glycemic management and childhood obesity: a systematic review and meta-analysis

et al. 2017

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“…In the last three decades, the prevalence of CAD has increased from 1.1% to about 7.5% in the urban population and from 2.1% to 3.7% in the rural population 6 . Coronary artery disease tends to occur at a younger age in Indians with 50% of cardiovascular mortality occurring in individuals aged <50 years 7, 8. The younger CAD patients have more extensive angiographic involvement contributed by genetic, metabolic, conventional and nonconventional risk factors.…”

Section: Definition Prevalence and Pathophysiologymentioning

confidence: 99%

Management standards for stable coronary artery disease in India

Mishra

Ray

Dalal

et al. 2016

Indian Heart Journal

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Coronary artery disease (CAD) is one of the important causes of cardiovascular morbidity and mortality globally, giving rise to more than 7 million deaths annually. An increasing burden of CAD in India is a major cause of concern with angina being the leading manifestation. Stable coronary artery disease (SCAD) is characterised by episodes of transient central chest pain (angina pectoris), often triggered by exercise, emotion or other forms of stress, generally triggered by a reversible mismatch between myocardial oxygen demand and supply resulting in myocardial ischemia or hypoxia. A stabilised, frequently asymptomatic phase following an acute coronary syndrome (ACS) is also classified as SCAD. This definition of SCAD also encompasses vasospastic and microvascular angina under the common umbrella.

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Vascular Disease in Young Indians (20-40 years): Role of Ischemic Heart Disease

Cited by 9 publications

References 59 publications

Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia

Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia

Intensive gestational glycemic management and childhood obesity: a systematic review and meta-analysis

Management standards for stable coronary artery disease in India

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