The correlation between intima-media complex, ankle brachial indexes and dyslipidemia with coronary heart disease among urbanized and non-urbanized population of Gornaya Shoria

Abstract

Objective: to assess the relationship of the value of the intima-media complex (IMC), ankle brachial indexes (ABI) and dyslipidemia with coronary heart disease (CHD) among residents of Gornaya Shoria depending on the level of urbanisation. Material and methods. Clinical and epidemiological study of indigenous Gornaya Shoria (sample of 513 people, including 265 residents of Sheregesh (urban-type settlement) and 248 residents of Orton and Ust-Kabyrzy (hard to reach remote villages of Gornaya Shoria)). We studied the lipid spectrum of the blood. We measured blood pressure (BP), calculation of IMC on the carotid arteries, ABI was calculated. CHD was exhibited on the basis of the criteria of the Minnesota code, profiles Rose and anamnesis. Results: the prevalence of CHD among the urban and rural population of Gornaya Shoria was 14.11% and 11.75% respectively, which is comparable with the average. Indigenous people living in rural areas had higher levels of triglycerides (TG), andShorians, living in the city a higherlevel of low-density lipoprotein cholesterol (LDL-C). Among the urban population were more common individuals with elevated levels of IMC compared with the rural population. Shorians, living in rural areas had lower levels of ABI than urban residents. Among the urban population with coronary artery disease had greater number of people with elevated levels of LDL-C. Regardless of - the level of urbanisation higherlMC observed inpatients with coronary artery disease.