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Prevalence of Coronary Artery Disease and Its Risk Factors Among Outpatients in Northern Afghanistan: A Cross-Sectional Study in Andkhoy City



Hamrah MH1 ; Hamrah MS2 ; Hamrah MH1 ; Hamrah MH1 ; Hamrah AE1 ; Dahi T5 ; Hamrah S1 ; Musammem MN7 ; Hamrah AE1
Authors
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Authors Affiliations
  1. 1. Dr. Mohammad Hashem Hamah’s Curative Clinic, Afghanistan
  2. 2. Center for Rural Health, School of Health Sciences, University of Tasmania, Tanzania
  3. 3. Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Arya University Faculty of Medicine, Mazar-i-Sharif, Afghanistan
  5. 5. Faculty of Dentistry, AbantIzzet Baysal University, Bolu, Turkey
  6. 6. Faculty of Medicine, Bursa Uludag University, Faculty of Medicine, Nilufer/Bursa, Turkey
  7. 7. Faryab Public Health Department, Faryab, Afghanistan

Source: Pakistan Journal of Medical and Health Sciences Published:2020

Abstract

Background: Coronary artery disease is the most common form of cardiovascular disease a group of diseases that are a leading cause of mortality worldwide. Aim: To assess the prevalence of coronary artery disease and among patients attending an outpatient clinic in Afghanistan. Methods: We conducted a cross-sectional survey of 2005 patients from April 2018 to December 2018. Information on socio-demographics, smoking, physical inactivity, history of hypertension, diabetes and coronary artery disease were collected using a face-to-face interview. Anthropometric measurements, blood pressure, electrocardiogram and biomedical measurements were performed. Data were analysed using descriptive statistics. Results: The prevalence of coronary artery disease among patients was 17.4%, with females having significantly higher prevalence than males (20.1% versus 14.9%, P=0.02). Hypertension and physical inactivity were more prevalent among females than males (47.9% versus 34.6%, P<0.001), and (66.0% versus 51.4%, P<0.001), respectively. The prevalence of overweight and obesity was greater in females than males (59.8% versus 54.6%, P= 0.019) and a higher proportion of females had dyslipidaemia and diabetes mellitus compared to males (81.8% versus 63.3%, P<0.001, and 30.7% versus 23.0%, P<0.001), respectively. However, smoking was more prevalent among males than females (46.5% versus 4.1%, P<0.001). Conclusions: The high prevalence of coronary artery disease and its risk factors among outpatients, especially women, attending one outpatient clinic in Afghanistan, highlights an urgentneedto prevent and control the disease in this area. © 2020 Lahore Medical And Dental College. All rights reserved.
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