DEMOGRAPHIC PROFILE AND RISK FACTORS OF ISCHEMIC CARDIOMYOPATHY: A STUDY FROM A TERITIARY CARE CENTRE

Dr. D. R. Anusha, Dr. Veeranarayana, Dr. Veeranarayana, Dr. B. Sudarsi, Dr. B. Sudarsi

Abstract


Aim and Objective: To study demographic profile and risk factors like Age, Sex, local area of patient, hypertension, diabetes, obesity, addictions
and family history .
Materials and methods: This is a prospective observational study done on 50 patients with Ischemic cardiomyopathy admitted in SVRR Govt.
Hospital, Tirupathi in ICU (intensive care unit) and wards during the period from 2011 -2014. All patients were evaluated by taking history
regarding demographic profile and risk factors like Age, Sex, local area of patient, hypertension, diabetes, obesity, and addictions. Routine blood
investigations and ECG (electrocardiogram), ECHO (echo cardiography) were done in all patients.
Results: Of 50 patients studied, 39(78%) males, 11(22%)females. Majority are in age group of 51-60 years. 35(70%)patients were from urban
areas.44% (22) were both alcoholics and smokers, 10% were only alcoholics and 6% were only smokers, rest of 32% patients have no substance
abuse but presented with Ischemic cardiomyopathy.10 (20%)patients were having positive family history. Risk factors like Hypertension,
Diabetes, Obesity, Overweight were seen in 32(64%),22(44%),20(40%),20(40%)patients respectively.
Conclusions: Ischemic cardiomyopathy is more common in males compared to females. Smoking and Alcohol consumption has linear
relationship with Ischemic cardiomyopathy. Hypertensive patients are more prone for ischemic cardiomyopathy than Diabetic patients. Routine
screening and early detection and treatment of hypertension and diabetes decrease the morbidity and mortality from patients going into ischemic
cardiomyopathy.


Keywords


Ischemic Cardiomyopathy, Diabetes, Smoking, Alcoholism, Hypertension.

Full Text:

PDF

References


Wiener CM, Fauci AS, Eugene, Kasper DL, Hauser SL, Longo DL, Jameson, Loscalzo J. Harrison’s Principle Of Internal Medicine, page no 1951,18th edn. New York: McGraw-Hill, 2012.

Hare JM, Walford GD, Hruban RH, et al: Ischemic Cardiomyopathy—endomyocardial biopsy and ventriculographic evaluation of patients with congestive-heart-failure, dilatedcardiomyopathy and coronary-artery disease. J Am CollCardiol 1992; 20:1318-1325.

(Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 8th ed.)

Diseasemanagement/cardiology/dilated-restrictive-cardiomyopathy www.clevelandclinicmeded.com, January 2012.

Jain P, Jain P, Bhandari S, Siddhu A. A case-control study of risk factors for coronaryheart disease in urban Indian middle-aged males. Indian Heart J 2008;60:233-40.

Gambhir JK, Kaur H, Prabhu KM, Morrisett JD, Gambhir DS. Association between lipoprotein(a) levels, apo(a) isoforms and family history of premature CAD in young Asian Indians.ClinBiochem 2008;41:453-8.

Maitra A, Shanker J, Dash D, John S, Sannappa PR, Rao VS, et al. Polymorphisms in theIL6 gene in Asian Indian families with premature coronary artery disease –The Indian Atherosclerosis Research Study. ThrombHaemost 2008;99:944-50.

C. James Risk Factors for Coronary Artery Diseases: A Study Among Patients WithIschemic Heart Disease in Kerala. Heart India 2013;1:7-11

SUGISHI M, TAKATSU F. Cigarette smoking is a major risk factor for acute MI andsubsequent cardiac failure. Circulation 1993; 87: 76-9.

Spodick DH, Pigott VM, Chirifer. Preclinical malformation in chronicalcoholism-New Eng J Med 1972; 287: 677-80.


Refbacks

  • There are currently no refbacks.