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TITLE:

FREQUENCY OF INCREASED WAIST TO HIP RATIO IN PATIENTS OF ACUTE MYOCARDIAL INFARCTION

AUTHORS:

Dr Arooj , Dr Asma Batool, Dr Ifrah Sarosh Arooj

ABSTRACT:

Introduction: Worldwide, incidence of Acute Myocardial Infarction (AMI) has been increasing over the years and now reflected as the leading cause of death universally. Overweight and obesity have been recognized as a major risk factor for coronary heart disease (CHD) with increasing prevalence. Aims and objectives: The main objective of the study is to analyze the frequency of increased waist to hip ratio in patients of acute myocardial infarction in Pakistan. Material and methods: This cross sectional study was conducted in Nishtar Hospital, Multan during November 2019 to July 2020. The data was collected from 100 patients of both genders. The age range was 25 to 60 years. Patients taking lipid lowering drugs and patients of chronic renal failure or chronic liver disease were excluded from the study. Waist was measured at narrowest part below rib cage and hip was measured at widest part of buttocks. Waist and hip of every patient was measured and waist hip ratio was calculated from those readings. The demographic values of all the patients were collected for further analysis. The patients’ waist and hip circumferences were measured in centimeters. Then a ratio of waist to hip was calculated from these two measurements for each patient. Results: The data was collected from 100 patients of both genders. The mean age was 45.5±4.65 years. This study demonstrated that most of the patients were male. Regarding distribution of normal and abnormal waist to hip ratio in patients presenting with acute myocardial infarction. It was noted that 77.9% patients had normal waist to hip ratio while remaining 22.1% patients had abnormal waist to hip ratio. The study population was also evaluated for other risk factors. Smoking was found to be the commonest risk factor as 65.78% patients were smokers. Conclusion: It is concluded that WHR can be deemed an excellent predictor of MI risk, as there is a significantly increased risk of MI among patients with a high WHR. The predictive effect of WHR on the risk of MI is even more significant in men than in women.

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