Sarwat Sultan, Sana Khurram, Samreen Kanwal.
Risk factors associated with coronary heart disease: an analysis of what predicts the most?.
Pak Heart J Jan ;48(4):177-84.

Objective: identify the most contributing group of risk factors associated with CHD. Methodology: This retrospective cross-sectional study was conducted from March 2014 to May 2015 at Cardiology Centre Multan. Various risk factors were grouped and studied in major six categories at one time to identify the most contributing risk factors in progression of CHD. The major risk factors were categorized into six groups; individual, psychosocial, dispositional, life-style,acute and chronic stressors and work-related risk factors. Data was collected ona booklet comprising measures of all risk factors rated on continuous and categorical variables. Results: About 204 male patients were included. Findings from regression analysis demonstrated that age (B=0.11, p<.05), depression (B=0.27, p<.001), anxiety (B=0.20, p <0.01), stress (B = 0.13, p < .05), low social support (B=0.23, p<.01), Type A behavior (B=0.17, p .05), and work-related stress (B=0.27, p<.01) were the major predictors of CHD. However, the group of psychosocial risk factors was identified as the most leading predictor (R 31,p>.01) as whole for CHD than the other groups of risk factors. Conclusion: Findings indicated that individual risk factors depression, anxiety,stress, low social support, Type A behavior, and work-related stressors are the major risk factors to CHD.

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