Pieris Rajeeva Rivikath, Al-Sabti Hilal Ali, Al-Abri Qasim Saleh Abdullah, Rizvi Syed Gauhar Alam
Division of Cardiothoracic Surgery, Department of Surgery, Sultan Qaboos University Hospital, Al-Khoud, P. O. Box 35, Post Code 123, Oman.
Department of Family Medicine & Public Health, College of Medicine & Health Science, Sultan Qaboos University, Al-Khoud, Oman.
Oman Med J. 2014 May;29(3):203-7. doi: 10.5001/omj.2014.50.
To identify the pattern of prevalence of risk factors in patients presenting for coronary artery bypass grafting at a single center in Oman.
All patients who had coronary artery bypass grafting between March 2008 to March 2010 were included and data were obtained from history and laboratory investigations. The prevalence rates of eight conventional risk factors are presented as a retrospective single center observational study.
Out of 146 total patients, 107 (73.29%) were male. The age ranged from 31 to 87 years old. The mean age was 58.18 ± 10.08 years (males = 56.81 ± 10.42, females = 61.95 ± 7.97). Hypertension was present in 119 patients (81.51%), 115 patients (78.77%) had dyslipidemia, 107 patients (73.29%) were male, 79 patients (54.11%) had diabetes mellitus, 70 patients (47.95%) were over the age of 60 years, 41 patients (28.08%) gave a history of smoking, 31 patients (21.23%) were obese, and 19 patients (13.01%) gave a positive family history.
The most common risk factor was hypertension, followed by dyslipidemia, male gender, diabetes mellitus, old age, smoking, obesity and positive family history; 87.7% had three or more risk factors. The females in this study were older than the males and had more risk factors at presentation. The most common combination of factors seen together was diabetes, hypertension, dyslipidemia and male gender.
确定阿曼某单一中心行冠状动脉搭桥术患者的危险因素流行模式。
纳入2008年3月至2010年3月期间所有行冠状动脉搭桥术的患者，并从病史和实验室检查中获取数据。八项传统危险因素的患病率以回顾性单中心观察性研究呈现。
在146例患者中，107例（73.29%）为男性。年龄范围为31至87岁。平均年龄为58.18±10.08岁（男性=56.81±10.42，女性=61.95±7.97）。119例患者（81.51%）患有高血压，115例患者（78.77%）患有血脂异常，107例患者（73.29%）为男性，79例患者（54.11%）患有糖尿病，70例患者（47.95%）年龄超过60岁，41例患者（28.08%）有吸烟史，31例患者（21.23%）肥胖，19例患者（13.01%）有阳性家族史。
最常见的危险因素是高血压，其次是血脂异常、男性、糖尿病、老年、吸烟、肥胖和阳性家族史；87.7%的患者有三种或更多危险因素。本研究中的女性比男性年龄更大，就诊时危险因素更多。同时出现的最常见因素组合是糖尿病、高血压、血脂异常和男性。
