Special features of coronary heart disease in people of the Indian sub-continent.

摘要: Contrary to the popular belief, coronary heart disease (CHD) is indeed common in Indian sub-continent. Expatriate Indians their newly adopted countries have 3 5 times more chance of developing CHD than native population or other immigrant groups. The well-known risk factors such as hypercholesterolemia, hypertension and smoking do not appear play a major role, while syndrome insulin resistance seems be an important factor for people this Abdominal obesity, hypertriglyceridemia, low plasma HDL cholesterol are markers syndrome. Increased levels even better, C-peptide measurement may help identifying abnormality early. As among has been found severe diffuse with serious complications increased mortality at younger age, preventive measures need instituted Low fat complex carbohydrate diet along regular aerobic exercise reduce abdominal improve sensitivity levels. Hypertriglyceridemia uncontrolled by above require pharmacotherapy agents gemfibrozil. Smoking must stopped endothelial function. Those should considered therapy ACE inhibitors, which sensitivity. In patients resistance, metformin troglitazone helpful.