title: Relationship of dyslipidemia and uric acid with the risk of myocardial infarction among hypertensive patients in Trinidad.
abstract: OBJECTIVE
  To study the relationship of dyslipidemia and serum uric acid with the risk of myocardial infarction among the hypertensive type 2 diabetic and non-diabetic patients of Trinidad.
  
  
  METHODS
  Data were obtained from the hospital records of 672 adults who were treated for hypertension in public health clinics in Trinidad.
  
  
  RESULTS
  The prevalence of myocardial infarction was 25.45% in the sample. Males accounted for 52.63% while females accounted for 47.37%. Hypertensive type 2 diabetics with dyslipidemia had greater occurrence of MI (23.93%) than non-diabetic hypertensive patients (7.67%) (p=0.008). Useful predictors of MI included: diabetes mellitus, altered lipid profile, family history of any cardiac conditions. On further analysis, hypertension class (p=0.003) and serum uric acid quartile (p=0.029) were also significant predictors of MI.
  
  
  CONCLUSIONS
  The results suggest that there is a greater prevalence of MI in hypertensive type 2 diabetic patients with dyslipidemia than in non-diabetic hypertensive patients in Trinidad.
authors.affiliation: The University of the West Indies, Faculty of Medical Sciences, Department of Preclinical Sciences, Trinidad and Tobago. Shivananda.Nayak@sta.uwi.edu
authors.forename: B Shivananda
authors.initials: BS
authors.lastname: Nayak
authors.forename: Nalini
authors.initials: N
authors.lastname: Maharaj
authors.forename: Satish S
authors.initials: SS
authors.lastname: Maharaj
authors.forename: Kyle
authors.initials: K
authors.lastname: Evernden
authors.forename: Unoda
authors.initials: U
authors.lastname: Fane
authors.forename: Le-Ann Lue
authors.initials: LA
authors.lastname: Fatt
authors.forename: Dev
authors.initials: D
authors.lastname: Maharaj
authors.forename: Samera
authors.initials: S
authors.lastname: Maharaj
authors.forename: Varsha
authors.initials: V
authors.lastname: Maharaj
authors.forename: Victoria
authors.initials: V
authors.lastname: Maloney
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D050171:Dyslipidemias / Q000097:blood* / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood* / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D008075:Lipoproteins, HDL / Q000097:blood; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood* / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D015995:Prevalence; D012307:Risk Factors; D014300:Trinidad and Tobago / Q000453:epidemiology; D014527:Uric Acid / Q000097:blood*
chemical_list: D008075:Lipoproteins, HDL; D014527:Uric Acid