Abstract
Background: Coronary artery disease (CAD) is one of the most common cause of mortality and morbidity in both developed and developing countries. The rural-urban differences in the prevalence of CAD indicate that differences in diet and lifestyle characteristics and conventional risk factors.
Aims & Objectives: To study the various risk factors and incidence of CAD in rural patients and to make comparison of risk factors in different socioeconomic classes of a rural to urban patients.
Material and Methods: It is hospital based cross-sectional clinical study carried out in NSCB Medical College, Jabalpur during Oct 2014 to Oct 2015 in which 81 cases and controls were taken from Urban and Rural population.
Results: CAD consisted of rural 2 (5.5%) in upper+upper middle class, 7 (19.5%) in lower middle class and 27 (75%) in lower+upper lower class and in urban 16 (36.6%) in upper+upper middle class, 7 (15.6%) in lower middle class and 22 (48.9%) patients found in lower+upper lower class. In rural patients there was history of CAD 4 (11.1%), hypertension 14 (38.8%), diabetes 5(13.8%), family history of CAD 3 (8.3%), smoking 23 (63.9%), tobacco chewing 13 (33.3%) and alcoholism 5(16.1%). In urban patients history of CAD 9 (20%), hypertension 14 (31.1%), diabetes 12(26.7%), family history of CAD 6 (15.3%), smoking 18 (40%), tobacco chewing 10 (22.2%) and alcoholism was found in 12(26.6%).
Conclusion: History of CAD, diabetes, family history of CAD and alcoholism was predominant risk factors in urban population as compared to rural population. Body mass index (BMI) was significantly higher in urban patients as compared to rural patients.
Keywords: CAD (Coronary artery disease).
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Corresponding Author
Dr Mohar Singh Uchariya
NSCB Medical College Jabalpur MP India
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.41
