Pub Date : 2025-04-22DOI: 10.1016/j.ijcrp.2025.200412
Adriana Lääti , Oskari Somerpalo , Konsta Teppo , Jenni Vire , Matti Viitanen , Ville Langén
Background
This study compares the association between educational attainment and blood pressure (BP) in two Finnish cohorts of older adults, born 20 years apart.
Methods
All 70-year-old residents of Turku, Finland, were surveyed in 1990 (1920-born TUVA cohort) and in 2010 (1940-born UTUVA cohort). Associations between education and BP were assessed using first ANOVA and post-hoc Tukey tests and then multiple linear regression, adjusted for age, gender, smoking, and body mass index. Analyses included 668 TUVA and 862 UTUVA participants.
Results
In the TUVA cohort (67.7 % women, mean age 70.9), 77.7 % had primary education only, compared to 54.1 % in the UTUVA cohort (59.6 % women, mean age 71.4). ANOVA revealed a significant association between education level and diastolic BP in the UTUVA cohort (p = 0.04). All other ANOVA results were non-significant (p ≥ 0.14). Tertiary education did not have a significant association with BP (p ≥ 0.0544). In regression analyses, each additional year of education in UTUVA correlated with a 0.36 mmHg decrease in systolic BP (p = 0.01) and a 0.32 mmHg decrease in diastolic BP (p < 0.001).
Conclusions
The 1920-born cohort demonstrated no significant differences in BP across education levels, whereas in the cohort born in 1940, higher education was associated with significant but small reductions in BP. These findings suggest that education may be linked to BP, but the absolute differences across education levels are modest. The relationship between education and BP is complex, influenced by lifestyle choices and healthcare access, and requires further exploration.
{"title":"Association between educational attainment and blood pressure in older adults: a study of two Finnish generational cohorts born 20 years apart","authors":"Adriana Lääti , Oskari Somerpalo , Konsta Teppo , Jenni Vire , Matti Viitanen , Ville Langén","doi":"10.1016/j.ijcrp.2025.200412","DOIUrl":"10.1016/j.ijcrp.2025.200412","url":null,"abstract":"<div><h3>Background</h3><div>This study compares the association between educational attainment and blood pressure (BP) in two Finnish cohorts of older adults, born 20 years apart.</div></div><div><h3>Methods</h3><div>All 70-year-old residents of Turku, Finland, were surveyed in 1990 (1920-born TUVA cohort) and in 2010 (1940-born UTUVA cohort). Associations between education and BP were assessed using first ANOVA and post-hoc Tukey tests and then multiple linear regression, adjusted for age, gender, smoking, and body mass index. Analyses included 668 TUVA and 862 UTUVA participants.</div></div><div><h3>Results</h3><div>In the TUVA cohort (67.7 % women, mean age 70.9), 77.7 % had primary education only, compared to 54.1 % in the UTUVA cohort (59.6 % women, mean age 71.4). ANOVA revealed a significant association between education level and diastolic BP in the UTUVA cohort (p = 0.04). All other ANOVA results were non-significant (p ≥ 0.14). Tertiary education did not have a significant association with BP (p ≥ 0.0544). In regression analyses, each additional year of education in UTUVA correlated with a 0.36 mmHg decrease in systolic BP (p = 0.01) and a 0.32 mmHg decrease in diastolic BP (p < 0.001).</div></div><div><h3>Conclusions</h3><div>The 1920-born cohort demonstrated no significant differences in BP across education levels, whereas in the cohort born in 1940, higher education was associated with significant but small reductions in BP. These findings suggest that education may be linked to BP, but the absolute differences across education levels are modest. The relationship between education and BP is complex, influenced by lifestyle choices and healthcare access, and requires further exploration.</div></div>","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200412"},"PeriodicalIF":1.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-18DOI: 10.1016/j.ijcrp.2025.200411
Jose Eric M. Lacsa
{"title":"Too much or too little: The U-shaped link between sleep duration and hypertension risk in Asian populations","authors":"Jose Eric M. Lacsa","doi":"10.1016/j.ijcrp.2025.200411","DOIUrl":"10.1016/j.ijcrp.2025.200411","url":null,"abstract":"","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200411"},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-16DOI: 10.1016/j.ijcrp.2025.200409
John Patrick C. Toledo
{"title":"Rising hypertension among young adults: Addressing risk perception and promoting prevention","authors":"John Patrick C. Toledo","doi":"10.1016/j.ijcrp.2025.200409","DOIUrl":"10.1016/j.ijcrp.2025.200409","url":null,"abstract":"","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200409"},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-16DOI: 10.1016/j.ijcrp.2025.200408
John Patrick C. Toledo
{"title":"Obesity in the Philippines: Addressing Cardiovascular risks through healthy lifestyle","authors":"John Patrick C. Toledo","doi":"10.1016/j.ijcrp.2025.200408","DOIUrl":"10.1016/j.ijcrp.2025.200408","url":null,"abstract":"","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200408"},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-16DOI: 10.1016/j.ijcrp.2025.200410
Dalmacito A. Cordero Jr.
{"title":"A harmless and flavorful smoke? Young adults’ use of e-cigarettes in developing countries","authors":"Dalmacito A. Cordero Jr.","doi":"10.1016/j.ijcrp.2025.200410","DOIUrl":"10.1016/j.ijcrp.2025.200410","url":null,"abstract":"","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200410"},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-15DOI: 10.1016/j.ijcrp.2025.200404
Ali Bin Abdul Jabbar , Daniyal Ali Khan , May Li-Jedras , Amjad Kabach , Ahmed Aboeata
Background
Substance Abuse (SA) is associated with Infective Endocarditis (IE) morbidity and mortality in the young adult population of the US. However, limited data is available for trends and disparities related to IE mortality and its association with SA in the young adult US population.
Methods
Data from the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research were analyzed from 1999 to 2022 for IE and SA-IE-related mortality in young adults aged 15 to 44 in the US. Age-adjusted mortality rates (AAMR) per 1000,000 people were used to calculate annual percent changes (APC) using Joinpoint regression analysis. Trends were stratified by sex, race/ethnicity, age groups, census region, urbanization classification, and states.
Results
IE caused 22,614 deaths in the young adult population of the US between 1999 and 2022. 7235 (32.0 %) of these deaths were associated with SA. AAMR for IE-associated mortality initially decreased from 6.2 in 1999 to 4.7 in 2010. Following that it increased by almost 3 folds to reach 13.5 in 2020 and 2021. SA-IE followed a similar trend, increasing more than 5 folds from an AAMR of 1.0 in 2010 to 5.4 by 2018. Between 1999 and 2009, 15–22 % of all IE deaths were associated with SA annually, which increased to >40 % for 2016–2022. Men had higher AAMR for IE though women witnessed a bigger jump in SA-associated IE mortality. Non-Hispanic American Indian or Alaskan natives, South region, and rural population had a worse increase.
Conclusions
IE mortality in the young adult population of the US has increased from 2010 onwards with a concerning rise in SA and IE-associated deaths.
{"title":"Trends of infective endocarditis mortality in young adult population of US: A concerning rise and its association with substance abuse","authors":"Ali Bin Abdul Jabbar , Daniyal Ali Khan , May Li-Jedras , Amjad Kabach , Ahmed Aboeata","doi":"10.1016/j.ijcrp.2025.200404","DOIUrl":"10.1016/j.ijcrp.2025.200404","url":null,"abstract":"<div><h3>Background</h3><div>Substance Abuse (SA) is associated with Infective Endocarditis (IE) morbidity and mortality in the young adult population of the US. However, limited data is available for trends and disparities related to IE mortality and its association with SA in the young adult US population.</div></div><div><h3>Methods</h3><div>Data from the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research were analyzed from 1999 to 2022 for IE and SA-IE-related mortality in young adults aged 15 to 44 in the US. Age-adjusted mortality rates (AAMR) per 1000,000 people were used to calculate annual percent changes (APC) using Joinpoint regression analysis. Trends were stratified by sex, race/ethnicity, age groups, census region, urbanization classification, and states.</div></div><div><h3>Results</h3><div>IE caused 22,614 deaths in the young adult population of the US between 1999 and 2022. 7235 (32.0 %) of these deaths were associated with SA. AAMR for IE-associated mortality initially decreased from 6.2 in 1999 to 4.7 in 2010. Following that it increased by almost 3 folds to reach 13.5 in 2020 and 2021. SA-IE followed a similar trend, increasing more than 5 folds from an AAMR of 1.0 in 2010 to 5.4 by 2018. Between 1999 and 2009, 15–22 % of all IE deaths were associated with SA annually, which increased to >40 % for 2016–2022. Men had higher AAMR for IE though women witnessed a bigger jump in SA-associated IE mortality. Non-Hispanic American Indian or Alaskan natives, South region, and rural population had a worse increase.</div></div><div><h3>Conclusions</h3><div>IE mortality in the young adult population of the US has increased from 2010 onwards with a concerning rise in SA and IE-associated deaths.</div></div>","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200404"},"PeriodicalIF":1.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-12DOI: 10.1016/j.ijcrp.2025.200406
Changyong Wen , Xiaolian Liu , Yiqing Lian , Weizhen Guo , Lingyu Zhang , Yanting Chen , Xin Lan , Mingfang Li , Sufen Zhang , Weixu Huang , Jianming Zou , Huifeng Chen
Introduction
Our study aimed to explore the association between long-term exposure to low-dose ionizing radiation (LDIR) and dyslipidemia and its components among medical radiologists, and to identify the mediating role of inflammatory markers.
Methods
This cross-sectional study was conducted on 3918 medical radiologists, with data collected through questionnaires and occupational external exposure dosimeters. The multifactorial logistic regression and restricted cubic spline model were used to analyze the association between long-term exposure to LDIR and dyslipidemia and its components among medical radiologists, and mediation analysis was used to identify potential mediation effects.
Results
Of 3918 medical radiologists, 995 (25.4 %) had dyslipidemia. The gender, age, body mass index (BMI), and smoking status were influential factors for dyslipidemia of medical radiologists. After adjusting for confounders, the OR and 95 % CI for the occurrence of dyslipidemia and high TG in the highest tertile group (Q3) were 1.32 (95 % CI: 1.04, 1.67) and 1.51 (95 % CI: 1.11, 2.07), respectively. Restricted cubic spline model showed that the cumulative effective dose was linearly associated with both dyslipidemia and high TG, and the risk of dyslipidemia and high TG increased with the cumulative effective dose. Mediation analysis suggested that the inflammatory marker SII significantly mediated the association between cumulative effective dose and TG levels.
Conclusion
Our study shows that medical radiologists have a high detection rate of dyslipidemia, and the risk of dyslipidemia and high TG increases with increasing cumulative effective dose. Inflammatory marker SII may play a mediating role in the association between cumulative effective dose and TG levels.
{"title":"Analysis of the association between long-term exposure to low-dose ionizing radiation and dyslipidemia and its components in medical radiologists: The mediating role of inflammatory markers","authors":"Changyong Wen , Xiaolian Liu , Yiqing Lian , Weizhen Guo , Lingyu Zhang , Yanting Chen , Xin Lan , Mingfang Li , Sufen Zhang , Weixu Huang , Jianming Zou , Huifeng Chen","doi":"10.1016/j.ijcrp.2025.200406","DOIUrl":"10.1016/j.ijcrp.2025.200406","url":null,"abstract":"<div><h3>Introduction</h3><div>Our study aimed to explore the association between long-term exposure to low-dose ionizing radiation (LDIR) and dyslipidemia and its components among medical radiologists, and to identify the mediating role of inflammatory markers.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted on 3918 medical radiologists, with data collected through questionnaires and occupational external exposure dosimeters. The multifactorial logistic regression and restricted cubic spline model were used to analyze the association between long-term exposure to LDIR and dyslipidemia and its components among medical radiologists, and mediation analysis was used to identify potential mediation effects.</div></div><div><h3>Results</h3><div>Of 3918 medical radiologists, 995 (25.4 %) had dyslipidemia. The gender, age, body mass index (BMI), and smoking status were influential factors for dyslipidemia of medical radiologists. After adjusting for confounders, the OR and 95 % CI for the occurrence of dyslipidemia and high TG in the highest tertile group (Q3) were 1.32 (95 % CI: 1.04, 1.67) and 1.51 (95 % CI: 1.11, 2.07), respectively. Restricted cubic spline model showed that the cumulative effective dose was linearly associated with both dyslipidemia and high TG, and the risk of dyslipidemia and high TG increased with the cumulative effective dose. Mediation analysis suggested that the inflammatory marker SII significantly mediated the association between cumulative effective dose and TG levels.</div></div><div><h3>Conclusion</h3><div>Our study shows that medical radiologists have a high detection rate of dyslipidemia, and the risk of dyslipidemia and high TG increases with increasing cumulative effective dose. Inflammatory marker SII may play a mediating role in the association between cumulative effective dose and TG levels.</div></div>","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200406"},"PeriodicalIF":1.9,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-11DOI: 10.1016/j.ijcrp.2025.200405
Zhanyuan Chen , Yaoyao Wang , Lili Liu , Xuejiao Liu , Rui Zhu , Yu Wei , Lihua Zhang , Jianfang Cai
Background
Serum uric acid (UA) has been associated with adverse outcomes in patients with heart failure. However, it remains inconclusive whether such association persists in patients with cardiorenal syndrome (CRS).
Methods
In a nationwide prospective cohort from China, 4907 adults hospitalized for heart failure were enrolled. Of them, 1284 had an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m2 at admission were included in this study. The Cox regression model was employed to evaluate the relationship between UA levels and mortality, major cardiovascular events (MACE), and hospitalization for heart failure (HHF). Additionally, Harrell’s concordance index was utilized to assess the incremental value of UA levels in predicting mortality.
Results
During a median follow-up of 3.28 years, hyperuricemia was associated with a 27 % increased risk of all-cause mortality (HR 1.27, 95 % confidence interval [CI] 1.08–1.49) and a 36 % increased risk of cardiovascular mortality (HR 1.36, 95 % CI 1.11–1.65), regardless of patients' eGFR levels. This relationship remained consistent throughout the whole follow-up period. Hyperuricemia increased the risk of 3-month MACE by 39 % (HR 1.39, 95 % CI 1.03–1.88), 3-month HHF by 47 % (HR 1.47, 95 % CI 1.11–1.95), and 1-year MACE by 26 % (HR 1.26, 95 % CI 1.02–1.57). The additive effect of uric acid levels in predicting mortality was also confirmed.
Conclusions
Serum UA levels possess significant value in prognosis of mortality, MACE, and HHF among patients with CRS. These findings underscore the importance of monitoring serum UA in the management of patients with CRS, as UA may provide valuable insights into risk stratification.
{"title":"Hyperuricemia and adverse outcomes in patients with cardiorenal syndrome: A nationwide prospective cohort study in China","authors":"Zhanyuan Chen , Yaoyao Wang , Lili Liu , Xuejiao Liu , Rui Zhu , Yu Wei , Lihua Zhang , Jianfang Cai","doi":"10.1016/j.ijcrp.2025.200405","DOIUrl":"10.1016/j.ijcrp.2025.200405","url":null,"abstract":"<div><h3>Background</h3><div>Serum uric acid (UA) has been associated with adverse outcomes in patients with heart failure. However, it remains inconclusive whether such association persists in patients with cardiorenal syndrome (CRS).</div></div><div><h3>Methods</h3><div>In a nationwide prospective cohort from China, 4907 adults hospitalized for heart failure were enrolled. Of them, 1284 had an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m<sup>2</sup> at admission were included in this study. The Cox regression model was employed to evaluate the relationship between UA levels and mortality, major cardiovascular events (MACE), and hospitalization for heart failure (HHF). Additionally, Harrell’s concordance index was utilized to assess the incremental value of UA levels in predicting mortality.</div></div><div><h3>Results</h3><div>During a median follow-up of 3.28 years, hyperuricemia was associated with a 27 % increased risk of all-cause mortality (HR 1.27, 95 % confidence interval [CI] 1.08–1.49) and a 36 % increased risk of cardiovascular mortality (HR 1.36, 95 % CI 1.11–1.65), regardless of patients' eGFR levels. This relationship remained consistent throughout the whole follow-up period. Hyperuricemia increased the risk of 3-month MACE by 39 % (HR 1.39, 95 % CI 1.03–1.88), 3-month HHF by 47 % (HR 1.47, 95 % CI 1.11–1.95), and 1-year MACE by 26 % (HR 1.26, 95 % CI 1.02–1.57). The additive effect of uric acid levels in predicting mortality was also confirmed.</div></div><div><h3>Conclusions</h3><div>Serum UA levels possess significant value in prognosis of mortality, MACE, and HHF among patients with CRS. These findings underscore the importance of monitoring serum UA in the management of patients with CRS, as UA may provide valuable insights into risk stratification.</div></div>","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200405"},"PeriodicalIF":1.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-04DOI: 10.1016/j.ijcrp.2025.200399
A.B.M. Kamrul-Hasan , Muhammad Shah Alam , Marufa Mustari , Mohammad Abdul Hannan , Emran Ur Rashid Chowdhury , Sumon Rahman Chowdhury , Md. Abu Jar Gaffar , Swapan Kumar Singha , Choman Abdullah Mohana , Ershad Mondal , Md. Shahinur Rahman , Mohammad Motiur Rahman , Sourav Sarker , Md. Azizul Hoque , Md. Rashedul Islam , Md. Abdul Bari Robel , Shahryar Ahmad , Ahmed Ifrad Bin Raunak , Nur-A-Musabber , Md. Mostofa Kaisar , Shahjada Selim
Aims
Evidence on cardiovascular (CV) risk stratification in Bangladeshi patients with type 2 diabetes mellitus (T2DM) who are asymptomatic for cardiovascular disease (CVD) is limited. This study aimed to assess the 10-year CV risk in newly diagnosed patients with T2DM.
Methods
In 2023, a cross-sectional study was carried out at endocrinology clinics in tertiary hospitals throughout Bangladesh, involving newly diagnosed patients with T2DM aged 25 to 84 who had no prior history of CVD and were asymptomatic for the condition. CV risk was assessed and classified using QRISK3.
Results
1617 newly diagnosed patients with T2DM (age 44.92 ± 11.84 years, male 49.5 %) were analyzed. Their median QRISK3 score was 11.0 %, with 46.5 % at low, 25.7 % at moderate, and 27.8 % at high 10-year CV risk, respectively. The QRISK3 score increased with age for both men and women, with men consistently scoring higher than women in every age group. Among the age groups 25–39, 40–64, and 65–84, the percentages of patients with high 10-year CV risk were 3.3 %, 34.0 %, and 94.5 %, respectively. The median relative risk (RR) of CVD was 4.3. RR decreased with age for both sexes, and men had a lower RR than women across all age groups. A sleep duration of 6–9 h was associated with a lower 10-year CV risk.
Conclusions
Many newly diagnosed Bangladeshi patients with T2DM have substantial CV risk. QRISK3 can assist clinicians in predicting 10-year CV risk and choosing appropriate treatments to prevent CVD.
{"title":"Cardiovascular risk in newly diagnosed patients with type 2 diabetes mellitus: a nationwide, facility-based, cross-sectional study in Bangladesh","authors":"A.B.M. Kamrul-Hasan , Muhammad Shah Alam , Marufa Mustari , Mohammad Abdul Hannan , Emran Ur Rashid Chowdhury , Sumon Rahman Chowdhury , Md. Abu Jar Gaffar , Swapan Kumar Singha , Choman Abdullah Mohana , Ershad Mondal , Md. Shahinur Rahman , Mohammad Motiur Rahman , Sourav Sarker , Md. Azizul Hoque , Md. Rashedul Islam , Md. Abdul Bari Robel , Shahryar Ahmad , Ahmed Ifrad Bin Raunak , Nur-A-Musabber , Md. Mostofa Kaisar , Shahjada Selim","doi":"10.1016/j.ijcrp.2025.200399","DOIUrl":"10.1016/j.ijcrp.2025.200399","url":null,"abstract":"<div><h3>Aims</h3><div>Evidence on cardiovascular (CV) risk stratification in Bangladeshi patients with type 2 diabetes mellitus (T2DM) who are asymptomatic for cardiovascular disease (CVD) is limited. This study aimed to assess the 10-year CV risk in newly diagnosed patients with T2DM.</div></div><div><h3>Methods</h3><div>In 2023, a cross-sectional study was carried out at endocrinology clinics in tertiary hospitals throughout Bangladesh, involving newly diagnosed patients with T2DM aged 25 to 84 who had no prior history of CVD and were asymptomatic for the condition. CV risk was assessed and classified using QRISK3.</div></div><div><h3>Results</h3><div>1617 newly diagnosed patients with T2DM (age 44.92 ± 11.84 years, male 49.5 %) were analyzed. Their median QRISK3 score was 11.0 %, with 46.5 % at low, 25.7 % at moderate, and 27.8 % at high 10-year CV risk, respectively. The QRISK3 score increased with age for both men and women, with men consistently scoring higher than women in every age group. Among the age groups 25–39, 40–64, and 65–84, the percentages of patients with high 10-year CV risk were 3.3 %, 34.0 %, and 94.5 %, respectively. The median relative risk (RR) of CVD was 4.3. RR decreased with age for both sexes, and men had a lower RR than women across all age groups. A sleep duration of 6–9 h was associated with a lower 10-year CV risk.</div></div><div><h3>Conclusions</h3><div>Many newly diagnosed Bangladeshi patients with T2DM have substantial CV risk. QRISK3 can assist clinicians in predicting 10-year CV risk and choosing appropriate treatments to prevent CVD.</div></div>","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200399"},"PeriodicalIF":1.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-03DOI: 10.1016/j.ijcrp.2025.200402
John Patrick C. Toledo
{"title":"Holistic health: A key to managing atrial fibrillation","authors":"John Patrick C. Toledo","doi":"10.1016/j.ijcrp.2025.200402","DOIUrl":"10.1016/j.ijcrp.2025.200402","url":null,"abstract":"","PeriodicalId":29726,"journal":{"name":"International Journal of Cardiology Cardiovascular Risk and Prevention","volume":"25 ","pages":"Article 200402"},"PeriodicalIF":1.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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