Coronary artery disease epidemic in Pakistan: more electrocardiographic evidence of ischaemia in women than in men.

Journal Article (Journal Article)


Indo-Pakistani populations have one of the highest risks of coronary artery disease (CAD) in the world. A population-based, cross-sectional survey was conducted on 3143 adults aged >or=40 years from 12 randomly selected communities in Karachi, Pakistan. Apart from smoking, women had more CAD risk factors (diabetes, hypertension, obesity, dyslipidaemia) than men. Definite CAD (history and Q waves on ECG) was more prevalent in men than in women (6.1% vs 4.0%; p = 0.009). In contrast, ischaemic and major ECG changes were twice as prevalent in women as in men (29.4% vs 15.6%, and 21.0% vs 10.5%; p<0.001 for each, respectively). All measures of CAD were strongly predicted by the metabolic syndrome, but that failed to account for the greater prevalence of ECG abnormalities in women than in men. The findings indicate that one in five middle-aged adults in urban Pakistan may have underlying CAD. Women are at greater risk than men.

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Full Text

Duke Authors

Cited Authors

  • Jafar, TH; Qadri, Z; Chaturvedi, N

Published Date

  • April 2008

Published In

Volume / Issue

  • 94 / 4

Start / End Page

  • 408 - 413

PubMed ID

  • 17646192

Pubmed Central ID

  • PMC2565583

Electronic International Standard Serial Number (EISSN)

  • 1468-201X

International Standard Serial Number (ISSN)

  • 1355-6037

Digital Object Identifier (DOI)

  • 10.1136/hrt.2007.120774


  • eng