Risk Factors for Coronary Heart Disease

Risk Factors 

	Smoking
	Hyperlipidaemia
	Hypertension
	Diabetes Mellitus
	Sedentary Lifestyle
	Obesity
	Diet defficient in Polyunsaturated fatty acids
	Low Vitamin E & C
	Blood Coagulation Factors Fibrinogen & Factor VII
	High levels of lipoprotein (a), homocysteine, ApoB

Smoking has a definite dose related relationship with Ischaemic heart disease. The risk of death for smokers is highest in younger population.

Hereditary Hypercholesterolaemia ( Raised blood level of Cholesterol) : Patients with hereditary hypercholesterolaemia have high incidence of Coronary disease. Reduction of blood cholesterol has a definite effect in the reduction of morbidity and death from coronary heart disease.

It is estimated that the development of Ischaemic heart disease is controlled by both Genetic and Environmental factors, could be in the ratio of 40:60.

Major manifestations of Coronary Heart disease are Angina Pectoris & Myocardial Infarction