What is it about?
The association between socioeconomic factors and CAD has been supported by numerous epidemiological studies. Since the mid-1970s, the rate of major CVD and death has shifted from high-income to low-income countries. “Despite the fact that the risk factor burden was lower in low-income countries compared with high-income countries, the rates of major CVD and death were higher in the low-income countries.”
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Why is it important?
Patients with hgher income was associated with increased risk for CAD and multivessel disease. Patients living in a rural area were more likely to have significant CAD, multivessel disease and left main disease, after adjustment for baseline factors. Unemployment was associated with an increased risk in CAD.
Perspectives
The well-accepted socioeconomic-CAD gradient might not be applicable to all regions of the world,” the researchers wrote. “We suggest that the interpretation of socioeconomic status should take in account the differences in risk factors between different ethnicities and the difference of cultural lifestyle in individuals from the same socioeconomic status. The underpinnings of these associations (eg, pathophysiologic factors, access to care and system-wide determinants of quality) require further study.”
Amin Daoulah
King Faisal Specialist Hospital and Research Center
Read the Original
This page is a summary of: Socioeconomic Factors and Severity of Coronary Artery Disease in Patients Undergoing Coronary Angiography: A Multicentre Study of Arabian Gulf States, The Open Cardiovascular Medicine Journal, April 2017, Bentham Science Publishers,
DOI: 10.2174/1874192401711010047.
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