Title:Evaluation of Ischemic Heart Disease Factors in Hemophilia Patients in Khorramabad
VOLUME: 20 ISSUE: 4
Author(s):Alireza Nezami, Fariba Tarhani* and Sina Elahi
Affiliation:Department of Pediatric, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Department of Pediatric, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Student Research Committee, Lorestan University of Medical Sciences, Khorramabad
Keywords:Hemophilia, risk Factor, cardiovascular disease, ischemic heart disease, non-diabetic, europe score.
Abstract:
Background: Evaluation of risk factors associated with coronary artery disease and cardiac
health in hemophilia patients is necessary to prevent the onset of ischemic heart disease. In
this study, we evaluated the cardiovascular status of hemophilic patients in Lorestan province for
the early onset of ischemic heart disease.
Methods: In this cross-sectional descriptive study, a total of 80 patients presenting severe hemophilia,
a detailed questionnaire-based investigation was conducted to analyze the prevalence of
cardiovascular risk factors in severe hemophilic patients. In patients with hemophilia, body mass index
(BMI), blood pressure, diabetes, LDL, cholesterol and HDL, the risk of cardiovascular death
was estimated using a predictive risk predictor algorithm of Europe SCORE.
Results: The mean age of the patients was 25 years, where all the patients were non-diabetic. Echocardiography
did not show any wall motion abnormality and changes in the T wave and dysrhythmia
were also not seen by ECG. 7 patients had high blood pressure, 11 had abnormal HDL, and 1
had abnormal LDL. In this study, serum LDL and HDL levels were not significantly correlated
with age and BMI. Conversely, age and BMI were significantly associated with hypertension. Hypertension
was observed in people over the age of 25 years and in overweighed individuals. 78.8%
had normal BMI and 21.3% were overweighed. There was no significant correlation between
serum LDL, serum HDL, and blood pressure and sex. The levels of abnormal LDL and HDL were
higher in men than in women.
Conclusion: ECG findings from our study did not report any significant cardiac abnormalities
among hemophilic patients. Cardiovascular risk factors were not significantly correlated in these
patients.
