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Patterns and Determinants of Dyslipidaemia in 'Young' Versus 'Not So Young' Patients of Coronary Artery Disease: a Multicentric, Randomised Observational Study in Northern India

Abstract

Aims: The aims of the study were to ascertain difference in lipid levels of 'Young' onset of coronary artery disease (CAD) (≤ 45 years) vs. 'Not so Young' onset of CAD (≥ 55 years) among north Indians and also to investigate determinants of 'dyslipidaemia' in CAD patients.

Methods: This was a prospective, multicentric, randomised, observational study carried in eight centres of UP, India. All blood investigations were performed employing a central laboratory.

Results: Out of a total 435 patients studied, 218 were in the 'young group' (YG) and 235 were in the 'Not so Young Group' (NSYG). Dyslipidaemia was more common in YG as evident by significantly higher levels of total cholesterol, triglycerides, low- and very low-density lipoprotein cholesterol as compared to NSYG. Diabetes, hypertension, urban lifestyle, and family history of CAD were found to be important determinants of dyslipidaemia in YG.

Conclusion: We conclude that lipid levels among north Indians are significantly higher in younger patients with CAD when compared with elderly.

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References
1.
. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002; 106(25):3143-421. View

2.
Chadha S, Radhakrishnan S, Ramachandran K, Kaul U, Gopinath N . Epidemiological study of coronary heart disease in urban population of Delhi. Indian J Med Res. 1990; 92:424-30. View

3.
Tewari S, Kumar S, Kapoor A, Singh U, Agarwal A, Bharti B . Premature coronary artery disease in North India: an angiography study of 1971 patients. Indian Heart J. 2005; 57(4):311-8. View

4.
Wild S, McKeigue P . Cross sectional analysis of mortality by country of birth in England and Wales, 1970-92. BMJ. 1997; 314(7082):705-10. PMC: 2126166. DOI: 10.1136/bmj.314.7082.705. View

5.
Gupta R, Gupta V, Sarna M, Bhatnagar S, Thanvi J, Sharma V . Prevalence of coronary heart disease and risk factors in an urban Indian population: Jaipur Heart Watch-2. Indian Heart J. 2002; 54(1):59-66. View