Demographic and Socioeconomic Factors of Patients With Coronary Artery Diseases Undertreatment of Coronary Artery Bypass Grafting, Percutaneous Coronary Intervention and Drug Therapy in Mashhad, Iran.
BACKGROUND
Considering the importance of preventing cardiovascular diseases, determining the contributing risk factors for ischemic heart disease which leads to atherosclerotic plaque, could be effective in selecting the required interventions.


OBJECTIVE
This study aimed to evaluate socioeconomic factors in patients with Coronary Artery Diseases (CAD) in three treatment groups: Coronary Artery Bypass Grafting (CABG), Percutaneous Coronary Intervention (PCI) and drug therapy. By identifying and comparing the underlying factors in treatment groups, we can gather useful information for future planning and policy making in order to reduce and eliminate the contributing factors.


METHODS
This cross-sectional study was conducted on 760 patients with CAD referred to cardiovascular health centers in Mashhad, Iran, including Javad-Al-Aeme Heart Hospital, Qaem, Imam Reza and Dr. Shariati educational Hospital. Samples were collected through purposive sampling from January to March 2014. Based on the experts' opinion, the subjects were categorized into three treatment groups: CABG, PCI, and drug therapy.


RESULTS
The mean age of total patients was 58.3 ± 11.5 years (P = 0.09). The proportion of rural patients in the PCI (26.7%) and drug therapy (27.5%) groups was twice as high as the CABG group (11.7%) (P < 0.001). The proportion of patients with higher educational level (higher than high school diploma) in the CABG group (35.9%) was higher than PCI and drug therapy groups (26.7%, 24.3%) (P = 0.006). Smoking, drinking and drug abuse were more common in the drug therapy group (P = 0.03, P = 0.02, and P < 0.001, respectively). One-vessel and three-vessel coronary artery diseases were more common in the drug and CABG groups, respectively (P < 0.001).


CONCLUSIONS
In total, application of therapeutic approaches in patients with CAD depends on many factors. In our study not only risk factors such as gender, lifestyle, smoking, alcohol abuse, diabetes and hypertension were associated with the incidence of CAD, but also they were highly correlated with the severity of the disease.
Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Maryam
M
Mirzaie
Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mohammad
M
Khajedaluee
Department of Cardiology, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Homa
H
Falsoleiman
Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Asadollah
A
Mirzaie
Department of Cardiology, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mehdi Reza
MR
Emadzadeh
Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Majid Reza
MR
Erfanian Taghvaei
Coronary Artery Bypass Grafting; Coronary Artery Disease; Drug Therapy; Percutaneous Coronary Intervention; Socioeconomic Factors