Volume 7
Number 1, January 2025Spectrum of coronary artery disease about non-health related social risks domain
DOI: https://doi.org/10.47648/zhswmcj.2025.v0701.04
Alam M.R1 , Montaha S. S2
Abstract
Background: The atherosclerotic coronary artery disease (ASCVD) is the most common cause of ischemicheart disease. The disease spectrum ranges from myocardial infarction to unstable angina and stable angina.Besides the traditional risk factors, the non-health-related social risk domains might affect the severity andoutcomes of coronary artery disease. The non-health-related social risk domains like housing instability,food insecurity, transportation difficulties, utility assistance, and interpersonal safety have been consideredas additional coronary artery disease risk and outcome factors. Aim: This research was intended to identifynon-health-related social risk domains as additional coronary artery disease risk enhancers among thestudy population concerning outcome variables like different severity of coronary artery disease. Methods:A cross-sectional analytic study was conducted from January 2020 to June 2020 at Combined MilitaryHospital, Dhaka. A total of 100 samples were purposefully selected for this study. The individual’s nonhealth-related social risk domains were identified and compared to the outcome of coronary artery diseaseslike stable angina, unstable angina, and myocardial infarction as outcome variables. The online ASCVD riskcalculator and software provided by the American College of Cardiology were validated tools to estimate 10years of ASCVD risk based on available traditional risk factors. Data were analyzed by statistical packagefor Social Science version 19(SPSS-19), and p-values <.05 were considered significant. Results: The nonhealth-related social risks domain, like housing problems, food insecurities, interpersonal safety threats,and bug and mold infestation, was significantly related to the higher occurrences of severe ischemic heartdisease. However, transportation problems were not significantly related to severe ischemic heart disease.The occurrences of severe heart disease were significantly higher in those who had intermediate or highASCVD scores than those who had low ASCVD scores. Conclusion: Some non-health-related social risksdomain and high ASCVD scores are associated significantly with severe ischemic heart disease. However,a large-scale study may be carried out to validate the information from Bangladesh’s perspective.
Keywords: ASCVD; stable angina; unstable angina; myocardial infraction
- OC & President CMB
- Associate Professor, Obs&Gynae