ABSTRACT
Background: Coronary heart disease
(CHD) remains the major cause of mortality and morbidity in the entire world
population despite therapeutic advances that control many risk factors. Lipid
profile is regarded as an important factor in the development of coronary heart
disease. There have been numerous studies confirming the association of
hyperlipidemias with coronary heart disease in most of the Western as well as
Asian countries of the world. But we have
very little data on the relation between CHD and lipid profile. Aim of the Study: The aim of this study was to assess abnormal
lipid levels and their association with coronary heart disease. Methods: This comparative observational study was conducted at the Department of Cardiology in M. Abdur Rahim Medical
College, Dinajpur, Bangladesh from
January 2019 to December 2019. Properly written consent was taken from all the
participants before starting the main part of the investigation. Obeying
inclusion and exclusion criteria of the study, a total of 131 participants were
finalized as the study population. Among them, the Case Group was formed with
90 patients who had CHD, and with 41 healthy
people, the Control Group was formed.
All necessary data were collected, analyzed, and disseminated by several
programs of MS-Office and SPSS version 23. Result: The study was
conducted with 90 case group participants and 41 control group participants.
Among the case group, 78% were male and 22% were female. Among the male case
group participants, 44.29% were from 51 - 60
years of age, 35.71% were from 41 - 50
years of age and the rest 20% were above 60 years of age. On the other hand,
among the female participants of Case Group, 45% were from 51 - 60
years of age, 30% from 41 - 50 years of age, and 25% were over 60 years of age. Regression analysis
between the male and the female showed the P-value of 0.242. Serum
cholesterol concentration and HDL concentration were significant between the
Case and Control groups in all age groups and the P-value was <0.0001 in
every age group. Triglyceride concentration was significant between the Case
and Control groups in 41 - 50 and 51 - 60 years age groups with a P-value of <0.0001. But in the >60 years
age group, we did not find any significant correlation and there the P-value was
0.478. LDL concentration between the groups showed significant correlations
between the Case and Control groups in 41 - 50 and 51 - 60-years’ age groups where the P
values were found, <0.0001 and 0.0002 respectively. But in the >60
years’ age group, we did not find any significant correlation and there the P- value
was 0.515. Conclusion: In this study, it was found that the total cholesterol, triglycerides, HDL cholesterol, and LDL
cholesterol concentrations were significantly higher in coronary heart
disease (CHD) patients.