Department of Family Medicine, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Department of Cardiology, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
Vasc Health Risk Manag. 2023 Aug 7;19:507-517. doi: 10.2147/VHRM.S411864. eCollection 2023.
To evaluate the correlation between unconventional risk factors and the Systematic Coronary Risk Estimation (SCORE), and estimate the prevalence of conventional and unconventional cardiovascular (CV) risk factors in the rural Lebanese population in order to assess their CV risk.
This is a retrospective descriptive study conducted between November 2017 and June 2019 among the Lebanese rural population. The risk factors were analyzed from the files of the patients who presented for the CV disease screening days organized by a non governmental organization. The CV risk estimation tool is the SCORE. The classification of socio-economic level ranges from zero (low level) to 3 (high level).
A total of 433 patients were included. The prevalence of hypertension, diabetes, dyslipidemia, smoking, and metabolic syndrome was 45.1%, 31.2%, 39.2%, 50% and 42.9% respectively. Only 13.6% of hypertensive patients and 6.7% of diabetics were controlled. A total of 0 or 1 point for the classification of socio-economic status was found in 62.6% of cases. A family history of CV diseases was present in 87.3% of participants. The SCORE was correlated with diabetes and metabolic syndrome (p = 0.000), without being correlated to socio-economic status (HR = -0.104; p = 0.059) or to family history (p = 0.834).
The socio-economic status and the family history of CV disease must be evaluated in addition to the classical risk calculation of the SCORE to better pinpoint the actual risk of the targeted population. The risk factors are prevalent but poorly controlled, hence the need for a national effort to ensure better care for the rural Lebanese population.
评估非传统危险因素与系统性冠状动脉风险评估（SCORE）之间的相关性，并评估黎巴嫩农村人口中传统和非传统心血管（CV）危险因素的流行情况，以评估其 CV 风险。
这是一项于 2017 年 11 月至 2019 年 6 月在黎巴嫩农村人口中进行的回顾性描述性研究。通过非政府组织组织的 CV 疾病筛查日为患者档案分析危险因素。CV 风险评估工具是 SCORE。社会经济水平的分类范围从 0（低水平）到 3（高水平）。
共纳入 433 例患者。高血压、糖尿病、血脂异常、吸烟和代谢综合征的患病率分别为 45.1%、31.2%、39.2%、50%和 42.9%。只有 13.6%的高血压患者和 6.7%的糖尿病患者得到控制。62.6%的病例社会经济地位分类为 0 或 1 分。87.3%的参与者有 CV 疾病家族史。SCORE 与糖尿病和代谢综合征相关（p=0.000），与社会经济地位（HR=-0.104；p=0.059）或家族史（p=0.834）无关。
除了 SCORE 的经典风险计算外，还必须评估社会经济地位和 CV 疾病家族史，以更好地确定目标人群的实际风险。危险因素普遍存在，但控制不佳，因此需要国家努力确保更好地为黎巴嫩农村人口提供护理。
