Each year goes by heart disease is at the top of the list of not only the country, but the world most serious health problems that in fact will lead to death.
INTER-HEART is a case control study of acute myocardial infarction (AMI) that was initially designated to assess the major modifiable risk factors for Coronary Heart Disease worldwide.
According to “ The Global Burden of Cardiovascular Disease” an article from Progress in Prevention written by Laura Hayman and Suzanne Hughes in 2005, the research done indicated that there are 9 potentially modifiable and easily assessed risk factors accounted for a vast majority of risk for AMI, which is 90%.
In 52 different countries in Asia, Europe, the Middle East, Africa, Australia, North and South America, 15,152 cases and 14,820 controls were recruited to determine the strength of association between risk factors and AMI in the overall study population varied by region, sex and age.
“Smoking, abnormal lipids, hypertension, diabetes, abdominal obesity, psychosocial factors, consumption of fruits, vegetables, alcohol, and regular physical activity explained most of the risk of AMI worldwide in both males and females.” (Hayman, 2005)
Although, what brought my attention was that out of those 9 modified factors, 2 of them alone accounted for approximately two-thirds of the Population Attributable Risk (PAR) of AMI which was smoking and abnormal lipids. With that being said is understandable that if only we educated our patients about prevention of cardiac diseases focusing on those two factors we could decrease those numbers by 60%.
Obviously we also have to take into consideration the fact that relative effect varied in different regions of the world as “psychosocial factors, abdominal obesity, diabetes,