Study on tracing coronary disease predisposing factors on urban population

Aim: The aim of the present study was the prevention of the coronary disease and the cardiovascular disease in general, through the prompt tracing and modification of the risk factors. MATERIAL-Method: This research is a clinical study that took place in the Municipality of Kallithea, Athens. The subject matter constituted by 235 adults (127 women and 108 men) that used the primary health care units of the Municipality and accepted to be part of the research. The research approach was accomplished with the individuals’ health histories, the measurement of the blood pressure, the body growth measures (weight, height) and blood taking for plasma lipoprotein checking. Results: Although the women of our sample (127) developed higher average rate of total cholesterol (216.93 mg/dL) in relation to men (108, 203.11 mg/dL) (P<0.001), yet they maintained a lower atherosclerosis indicator because their HDL rate was higher. The individuals who trained a manual occupation (blue collar) and in majority were smokers in a percentage of 90%, a lipoprotein HDL reduction was noticed (48.88 mg/dL) in relation to the ones that trained an office occupation (white collar) (53.76 mg/dL) (P<0.001). The individuals over 51 years old developed higher average rate of mass cholesterol and LDL but the average rate of the atherosclerosis indicator was <5 because the HDL average rate was high (>50 mg/dL). The mass cholesterol average rate of the sample population (235) was 214.48 mg/dL and in 42.98% higher rates than 230 mg/dL were noticed, with more risk factors of coronary disease coexisting. From the classification of the population according to the social­cultural characteristics, it was found that the group of the cleanliness employees of the Municipality (low social­economical level) statistically differs from the general population as for the appearance of the coronary disease risk factors (P<0.05). In particular, they presented the worst average rates of hyperlipidemia (mass cholesterol 239.27 mg/dL, LDL 144.18 mg/dL, HDL 53.55 mg/dL, atherosclerosis indicator 6.15) and had high percentage hereditary aggravation (81.8%) and smoking habit (90.9%). The blind and those with half loss of sight do not statistically differ from the general population as far as the hereditary aggravation and smoking habits are concerned. Conclusions: Intervening of coronary disease prevention should be holistic and emphasize on the high risk groups that proved to be the hypertensive, overweightcorpulent, smokers as well as individuals of low social, economical and educational level that obtain several predisposing factors.