title: Acute coronary syndromes in deployed military personnel.
abstract: OBJECTIVE
  The purpose of this study was to describe the cardiovascular (CV) risk profile of deployed military men who experience acute coronary syndrome (ACS).
  
  
  METHODS
  A retrospective record review of deployed military men who experienced ACS while deployed and were treated at an overseas military medical center between 2001 and 2007 was conducted to obtain the information for this descriptive study (N= 100).
  
  
  CONCLUSIONS
  Acute myocardial infarction was diagnosed in 82% of the sample, and 18% experienced unstable angina. Subjects' mean age was 44.7 years (SD± 7.6; range 29-60) and most were enlisted and reservists. Risk factors included a family history of premature coronary artery disease (41%) and smoking (47%) as well as a history of hyperlipidemia (48%), hypertension (28%), and glucose abnormalities (6%). The group was overweight (BMI 27.77 kg/m(2) ± 3.2) and low risk for CV events (Framingham risk score 7.8%[± 4.4]).
  
  
  CONCLUSIONS
  Young military men are regarded as the epitome of health and fitness; however, findings from this study suggest that this generally low-risk group do indeed have multiple CV risk factors and experience ACS. Early risk factor assessment and modification, including smoking cessation, weight management, and improving dyslipidemia, is essential.
authors.affiliation: Madigan Army Medical Center, Tacoma, Washington, USA. leigh.mcgraw@us.army.mil
authors.forename: Leigh K
authors.initials: LK
authors.lastname: McGraw
authors.forename: Barbara S
authors.initials: BS
authors.lastname: Turner
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Stotts
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Dracup
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology*; D000328:Adult; D000789:Angina, Unstable / Q000453:epidemiology*; D015992:Body Mass Index; D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008887:Military Medicine; D008889:Military Personnel; D050177:Overweight; D015995:Prevalence; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D014481:United States / Q000453:epidemiology
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL