The study found that diabetes, body mass index and waist hip ratio are the key causes of heart related issues.
The study led by senior cardiologist Dr B. Hygriv Rao from KIMS hospital, Hyderabad studied a total of 2153 patients.
“In routine clinical practice focus is generally directed to the assessment and control of major conventional risk factors (CRF) – diabetes, hypertension, elevated low-density cholesterol (LDL-C) and smoking,” the researchers have said, and have added that these conventional risk factors alone appear insufficient to explain the higher risk of acute coronary syndrome in India.
The researchers say that low level of high-density lipoprotein cholesterol (HDL-C), increased body-mass index (BMI), waist-hip ratio (WHR), triglycerides, and inadequately controlled diabetes (defined as glycosylated haemoglobin [HbA1c] >7%) also significantly contribute to the risk but does not get due attention in the routine clinical practice.
The reason, they explain is, “For instance HbA1c is less commonly used for screening and diagnosis of diabetes due to the higher out-of-pocket expenses when compared to the fasting and postprandial blood sugar levels.”