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|Title: ||Coronary artery disease in Saudia Arabia|
|Authors: ||Al-Nozha, Mansour M.|
Arafah, Mohammed R.
Al-Mazrou, Yaqoub Y.
Al-Maatouq, Mohammed A.
Khan, Nazeer B.
Khalil, Mohamed Z.
Al-Khadra, Akram H.
Abdullah, Moheeb A.
Al-Harthi, Saad S.
Al-Shahid, Maie S.
Nouh, Mohammed S.
|Issue Date: ||2004 |
|Publisher: ||Riyadh Armed Forces Hospital, Saudi Arabia|
|Citation: ||Saudi Medical Journal: 25 (9); 1165-1171|
|Abstract: ||Objectives: Coronary artery disease (CAD) is a major
public health problem worldwide. To our knowledge,
there is no national data available from community based
studies on prevalence of CAD in the Kingdom of Saudi
Arabia (KSA). Therefore, we designed this study with the
objective to determine the prevalence of CAD among
Saudis of both sexes, between the ages of 30-70-years in
rural as well as urban communities. Further, to determine
the prevalence and clinical pattern of the major
modifiable risk factors for CAD among the same
population. This work is part of a major national study on
CAD in Saudis Study (CADISS).
Methods: This is a community based study conducted
by examining subjects in the age group of 30-70-years of
selected households during 5-year period between 1995
and 2000 in KSA. Data were obtained from history using
a validated questionnaire, and electrocardiography. The
data were analyzed to provide prevalence of CAD and
risk assessment model.
Results: Nine hundred and forty-four subjects, out of
17232 were diagnosed to have CAD. Thus, the overall KSA. The prevalence in males and females were 6.6%
and 4.4% (P<0.0001). Urban Saudis have a higher
prevalence of 6.2% compared to rural Saudis of 4%
(P<0.0001). The following variables are found to be
statistically significant risk factors in KSA: age, male
gender, body mass index (BMI), hypertension, current
smoking, fasting blood glucose, fasting cholesterol and
Conclusions: The overall prevalence of CAD in KSA
is 5.5%. A national prevention program at community
level as well as high risk groups should be implemented
sooner to prevent the expected epidemic of CAD that we
are seeing, beginning. Measures are needed to change
lifestyle and to address the management of the metabolic
syndrome, to reduce modifiable risk factors for CAD. A
longitudinal study is needed to demonstrate the
importance of reducing modifiable risk factors for CAD
|Appears in Collections:||College of Medicine|
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