Iranian patients with coronary artery disease: rural versus urban residents
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SHORT COMMUNICATION
Iranian patients with coronary artery disease: rural versus urban residents Mohsen Maddah • Arsalan Salari • Maryam Momeni
Received: 6 September 2013 / Accepted: 30 October 2013 / Published online: 20 November 2013 Ó Springer-Verlag Italia 2013
Abstract In Iran, coronary artery disease (CAD) is the leading cause of mortality. There is less information on urban–rural difference in CAD in Iran. Between June 2010 and December 2011 a total of 288 patients (186 urban and 102 rural) with angiography-approved CAD were sequentially recruited in the main heart hospital in Rasht, northern Iran. Data on age, living areas, educational levels, blood lipids, blood glucose levels, blood pressure, body mass index, waist circumference, cigarette smoking and current drug therapy were collected. In the rural men the prevalence of hypertension, diabetes and smoking was lower than the urban men and the prevalence of other risk factors was not different. In the rural women the prevalence of overweight/obesity and waist circumference was lower than the urban women and the distributions of other measured risk factors were the same. This study showed that Iranian urban and rural women were not behind men regarding age for developing CAD.
Introduction
Keywords Coronary artery disease Developing countries Iran Rural
Method
M. Maddah (&) Department of Human Nutrition, School of Public Health, Guilan University of Medical Sciences, P.O. Box 41635-3197, Rasht, Iran e-mail: [email protected] A. Salari (&) Department of Cardiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran e-mail: [email protected] M. Momeni Department of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
The burden of non-communicable diseases in rural areas of developing countries is rising [1, 2]. A rise in prevalence of coronary artery disease (CAD) risk factors in rural areas has important public health implications since rural populations have limited access to health care and can least afford to pay for the high treatment cost of CAD. Islamic Republic of Iran is facing the challenge of an emerging epidemic of CAD and several surveys have examined the prevalence of CAD risk factors in urban Iranians [3, 4], but data from rural areas are sparse. Despite rapid urbanization almost half of the populations in Guilan province still live in rural areas. This study aimed to study urban and rural differences in CAD risk factors in hospitalized patients with documented CAD in Guilan, northern Iran.
A total of 288 patients (186 urban and 102 rural) with angiography-approved CAD were sequentially recruited between June 2010 and December 2011 in the main heart hospital in Rasht, northern Iran. CAD was defined as coronary stenosis more than 50 % in at least one vessel in angiography. Data on age, living areas, educational levels, blood lipids, blood glucose levels, blood pressure, body mass index, waist circumference, cigarette smoking and current drug therapy were collected. The patients gave writt
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