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THE PREVALENCE AND RISK FACTORS OF CARDIOVASCULAR DISEASES IN ÇANKAYA DISTRICT OF ANKARA,  Turkey Ozyurda F*,Ocaktan E*, C...
<ul><li>All deaths in Turkey occur as a result of heart diseases and they make 46 % of total deaths and rank first among t...
Aim <ul><li>The purpose of this study, was to determine the  </li></ul><ul><li>frequency and risk factors of heart disease...
Materials and Method <ul><li>The study was conducted between the years of 1997 and 2003, in Çankaya, in a sample of househ...
Materials and Method <ul><li>The results were evaluated by laboratory and clinic based teams (cardiologists and cardiovasc...
Results <ul><li>According to the results; </li></ul><ul><li>The frequency of heart diseases was 10.3 % </li></ul><ul><li>T...
<ul><li>In this study, some demographic characteristics and risk factors of patients having ischemic heart disease were ta...
The frequency of ischemic heart disease according to age and gender (%) The frequency of the disease was 10 % in male and ...
Family history and Ischemic Heart Disease (%) p= 0.3  O.R= 0.8  95  %   CI: 0.4-1.3 Although the presence of family histor...
Smoking and Ischemic Heart Disease (%) <ul><li>There was no difference in the frequency of the disease between the patient...
Lipid Profile and Ischemic Heart Disease (%) Total cholesterol, triglyserid, VLDL and the ratio of chol/HDL values were si...
<ul><li>As it was observed, in the patients having </li></ul><ul><li>Total cholesterol level was  ≥  200 mg/dl, </li></ul>...
Fasting blood glucose and IHD (%) p= 0.012  O.R= 2.8  95  %  CI= 1.2-6.6 The risk of ishemic heart disease of diabetic pat...
Body Mass Index and Iscemic Heart Disease (%) p= 0.001  O.R= 2.7  95  %  CI = 1.5-4.9 The risk of ischemic heart disease i...
Hypertension nd Ischemic Heart Disease (%) <ul><li>The percentage of patients whose blood pressure  </li></ul><ul><li>was ...
Other factors <ul><li>In the study, there was not any significant  </li></ul><ul><li>association between  </li></ul><ul><l...
Conclusion <ul><li>As a result, the risk factors regarding to ischemic heart disease were determined to be preventable by ...
Take Care of Your  HEART GO WHERE YOUR HEART  TAKES YOU
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Transcript of "THE PREVALENCE AND RISK FACTORS OF CARDIOVASCULAR DISEASES IN ..."

  1. 1. THE PREVALENCE AND RISK FACTORS OF CARDIOVASCULAR DISEASES IN ÇANKAYA DISTRICT OF ANKARA, Turkey Ozyurda F*,Ocaktan E*, Caliskan D*, Kirilmaz A*, Omurlu K**, Akar R***, Ozyurda U*** Department of Pubic Health, Department of Cardiology, and Department of Cardiovascular Surgery Faculty of Medicine Ankara University, Turkey
  2. 2. <ul><li>All deaths in Turkey occur as a result of heart diseases and they make 46 % of total deaths and rank first among the causes of deaths. </li></ul><ul><li>The frequency of heart diseases changes between 6-10 % in many studies performed in Turkey. </li></ul>
  3. 3. Aim <ul><li>The purpose of this study, was to determine the </li></ul><ul><li>frequency and risk factors of heart diseases in </li></ul><ul><li>the county of Çankaya which is a highly </li></ul><ul><li>developed socioeconomic and highly populated </li></ul><ul><li>county of Ankara, Turkey. </li></ul>
  4. 4. Materials and Method <ul><li>The study was conducted between the years of 1997 and 2003, in Çankaya, in a sample of households which was drawn by 1/200 random systematic sampling method. The sample constituted of people who were older than the age of 15, and it was consisted of 961 participants. </li></ul><ul><li>The study was carried out in the field by the support of laboratory and clinic based teams in colloboration. </li></ul><ul><li>The team, working in the field administered a questionnaire, measured blood pressure, and ECGs of participants were taken living in every randomly selected household. The lipid profiles, fasting blood glucose levels, height and weight of the particiants were also measured. </li></ul>
  5. 5. Materials and Method <ul><li>The results were evaluated by laboratory and clinic based teams (cardiologists and cardiovascular surgeons) and the provision of treatment was realised for the diagnosed patients. </li></ul><ul><li>The data were analysed by SPSS v.11.0 packet programme. And the p value was accepted significant at the level of 0.05 . </li></ul>
  6. 6. Results <ul><li>According to the results; </li></ul><ul><li>The frequency of heart diseases was 10.3 % </li></ul><ul><li>The frequency of ischemic heart disease was 6.7 % </li></ul><ul><li>The frequency of valvular heart disease was 0.8 % </li></ul><ul><li>The frequency of arrythmias was 2.4 %, and </li></ul><ul><li>The frequency of heart failure was found as 0.5 % . </li></ul>
  7. 7. <ul><li>In this study, some demographic characteristics and risk factors of patients having ischemic heart disease were taken into consideration such as; </li></ul><ul><li>AGE: </li></ul><ul><li>As the age of patients increased, the frequency of ischemic heart disease also increased. </li></ul>
  8. 8. The frequency of ischemic heart disease according to age and gender (%) The frequency of the disease was 10 % in male and 7.2 % in female patients in the age of 40 between 54. But above the age of 55, the frequency of ischemic heart disease rose to 30 % and more. 9.4 10.8 Total 37.3 32.6 55+ p= 0.001 p= 0.001 7.2 10.0 40-54 2.9 3.4 15-39 Female Male Age
  9. 9. Family history and Ischemic Heart Disease (%) p= 0.3 O.R= 0.8 95 % CI: 0.4-1.3 Although the presence of family history influenced the ischemic disease frequency positively, the association was not found to be significant. 100.0 90.1 9.9 Total 100.0 91.1 8.5 Not present 100.0 88.5 11.5 Present Total Normal Ischemic H.D. Family history
  10. 10. Smoking and Ischemic Heart Disease (%) <ul><li>There was no difference in the frequency of the disease between the patients according to smoking and not smoking (p>0.05). However; </li></ul>x 2 = 7.0, p<0.05 The frequency of ischemic heart disease rose to 16.9 % in patients smoking more than 11 cigarettes per day more than 16 years. 100.0 83.1 16.9 ≥ 16 years and ≥ 11 cigarettes/day 100.0 92.9 7.1 <16 years and ≥ 11 cigarettes/day Total Normal IHD Present
  11. 11. Lipid Profile and Ischemic Heart Disease (%) Total cholesterol, triglyserid, VLDL and the ratio of chol/HDL values were significantly higher in patients with ishemic heart disease than patients with no relevant disease. 2.3 1.3-4.1 0.006 90.8 81.4 9.2 18.6 Total chol/HDL <5 ≥ 5 1.8 0.9-3.7 0.093 90.0 83.1 10.0 16.9 VLDL <33 mg/dl ≥ 33 mg/dl 2.1 1.1-4.2 0.01 90.3 81.1 9.7 18.9 Triglyserid <165 mg/dl ≥ 165 mg/dl Odds ratio %95 CI 2.5 1.5-4.3 p 0.001 Normal 92.3 82.6 IHD 7.7 17.4 Total Cholesterol <200 mg/dl ≥ 200 mg/dl
  12. 12. <ul><li>As it was observed, in the patients having </li></ul><ul><li>Total cholesterol level was ≥ 200 mg/dl, </li></ul><ul><li>Triglycerid level was ≥ 1 65 mg/dl, </li></ul><ul><li>Total chol/HDL ratio was ≥ 5 </li></ul><ul><li>the risk of ischemic heart disease was </li></ul><ul><li>2-2.5 times more than the risk of normal </li></ul><ul><li>patients. </li></ul>
  13. 13. Fasting blood glucose and IHD (%) p= 0.012 O.R= 2.8 95 % CI= 1.2-6.6 The risk of ishemic heart disease of diabetic patients was more than 2.8 compared to the patients without diabetes. 75.8 24.2 < 110 mg/dl 89.9 10.1 ≥ 110 mg/dl Normal IHD Fasting blood glucose
  14. 14. Body Mass Index and Iscemic Heart Disease (%) p= 0.001 O.R= 2.7 95 % CI = 1.5-4.9 The risk of ischemic heart disease in obese patients was 2.7 times more than compared to the risk in non-obese patients. 94.5 5.5 <25 86.1 13.9 ≥ 25 Normal IHD Body Mass Index
  15. 15. Hypertension nd Ischemic Heart Disease (%) <ul><li>The percentage of patients whose blood pressure </li></ul><ul><li>was ≥ 140/90 mmHg was 28 %, it was 13 % </li></ul><ul><li>having blood pressure ≥ 160/110 mmHg. </li></ul>p<0.05 O.R= 2.0 95 % CI = 1.2-3.4 The risk of ischemic heart disease in hypertensive patients was 2 times more than the normotensive patients. 94.9 5.3 < 160/110 mmHg 91.1 8.9 ≥ 160/110 mmHg Normal IHD Blood pressure
  16. 16. Other factors <ul><li>In the study, there was not any significant </li></ul><ul><li>association between </li></ul><ul><li>- Type of personality,and </li></ul><ul><li>- Regular exercise. </li></ul><ul><li>The frequency of ischemic heart disease in </li></ul><ul><li>patients driving their personal cars (% 14.3) </li></ul><ul><li>was more than the patients going on foot (3.4- </li></ul><ul><li>5.2 % ). However this relationship may be due to </li></ul><ul><li>socioeconomic status and other risk factors. </li></ul>
  17. 17. Conclusion <ul><li>As a result, the risk factors regarding to ischemic heart disease were determined to be preventable by changing life style behaviours. </li></ul><ul><li>Therefore, preventive measures directed to these risk factors should take the priority to be implemented and to be followed effectively. </li></ul>
  18. 18. Take Care of Your HEART GO WHERE YOUR HEART TAKES YOU
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