2.50
Hdl Handle:
http://hdl.handle.net/10755/157804
Type:
Presentation
Title:
Premature Coronary Artery Disease in Deployed U.S. Military Men
Abstract:
Premature Coronary Artery Disease in Deployed U.S. Military Men
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:McGraw, Leigh Kyle, RN, NP-C, PhD
P.I. Institution Name:Madigan Army Medical Center, Nursing Research Service
Title:Nurse Researcher
Contact Address:9040 Reid Street, Tacoma, WA, 98431, USA
Contact Telephone:253-968-2289
Co-Authors:Kathleen Dracup, RN, FNP, DNSc, FAAN, Professor and Dean; Barbara S. Turner, RN, DNSc, FAAN, Professor
Purpose: To assess cardiovascular (CV) risk factors and socioeconomic status in military men deployed in support of the Global War on Terror with premature coronary artery disease (CAD). Background:  Young military men are regarded as the epitome of health and fitness, yet little is known about the major CV risk factor profile or socioeconomic status of those with premature CAD who are deployed overseas in the Global War on Terror. Methods:  This descriptive study includes military men < 55 years deployed in the Global War on Terror evacuated for definitive treatment of acute coronary syndromes (ACS) (N=85).  Records were identified using International Classification of Diseases-9 codes at a military medical center in.  Demographic information and major CV risk factors were obtained from medical records.  Rank was utilized as a surrogate marker for socioeconomic status. Results: Demographic and clinical characteristics are reported using descriptive statistics.  The average age of subjects was 42.5 years ( +/- 6.2; range 29-54).  Of the 85 subjects, 82.4% had an acute myocardial infarction and 17.6% had unstable angina.  Major risk factors in the sample included 41% with a family history of premature CAD, and 49% classified as current smokers.  Past medical history of hyperlipidemia, hypertension, and glucose abnormalities were noted in 37.6%, 24.7%, and 4.7%, respectively.  Average total cholesterol was 177 mg/dl (+/- 44), low density lipoprotein cholesterol was 120 mg/dl  (+/- 41), high density lipoprotein cholesterol was 34 mg/dl  (+/- 8), triglycerides were 149 mg/dl (+/- 75), and total cholesterol/high density lipoprotein cholesterol ratio was 5.4 (+/- 1.6).  Fasting blood sugar was 101mg/dl (+/- 32), mean systolic blood pressure was 123 mmHg (+/- 16) and mean diastolic blood pressure was 76 mmHg (+/- 12).  While the sample was overweight (mean BMI 28.0 kg/m squared +/- 3.2), their risk score was 7.1% (+/- 3.7), or ?low risk? for ACS.  Most of the participants were enlisted personnel (80%) and reservists (54%). Implications: Report of CV risk factors and socioeconomic status in deployed military men with a definitive diagnosis of premature CAD does not exist. Identification of risk factors associated with premature CAD can lead to policy changes on CV risk surveillance programs and risk management in young military men, especially prior to an overseas deployment.  Findings from this study suggest that most military men with premature CAD are of lower socioeconomic status and require counseling about smoking cessation, weight management, and improving dyslipidemia.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePremature Coronary Artery Disease in Deployed U.S. Military Menen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157804-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Premature Coronary Artery Disease in Deployed U.S. Military Men</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McGraw, Leigh Kyle, RN, NP-C, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Madigan Army Medical Center, Nursing Research Service</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Researcher</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9040 Reid Street, Tacoma, WA, 98431, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">253-968-2289</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">leigh.mcgraw@us.army.mil, armyrn@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathleen Dracup, RN, FNP, DNSc, FAAN, Professor and Dean; Barbara S. Turner, RN, DNSc, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To assess cardiovascular (CV) risk factors and socioeconomic status in military men deployed in support of the Global War on Terror with premature coronary artery disease (CAD).&nbsp;Background:&nbsp; Young military men are regarded as the epitome of health and fitness, yet little is known about the major CV risk factor profile or socioeconomic status of those with premature CAD who are deployed overseas in the Global War on Terror. Methods: &nbsp;This descriptive study includes military men &lt; 55 years deployed in the Global War on Terror evacuated for definitive treatment of acute coronary syndromes (ACS) (N=85).&nbsp; Records were identified using International Classification of Diseases-9 codes at a military medical center in.&nbsp; Demographic information and major CV risk factors were obtained from medical records.&nbsp; Rank was utilized as a surrogate marker for socioeconomic status.&nbsp;Results: Demographic and clinical characteristics are reported using descriptive statistics.&nbsp; The average age of subjects was 42.5 years ( +/- 6.2; range 29-54).&nbsp; Of the 85 subjects, 82.4% had an acute myocardial infarction and 17.6% had unstable angina. &nbsp;Major risk factors in the sample included 41% with a family history of premature CAD, and 49% classified as current smokers. &nbsp;Past medical history of hyperlipidemia, hypertension, and glucose abnormalities were noted in 37.6%, 24.7%, and 4.7%, respectively. &nbsp;Average total cholesterol was 177 mg/dl (+/- 44), low density lipoprotein cholesterol was 120 mg/dl&nbsp; (+/- 41), high density lipoprotein cholesterol was 34 mg/dl&nbsp; (+/- 8), triglycerides were 149 mg/dl (+/- 75), and total cholesterol/high density lipoprotein cholesterol ratio was 5.4 (+/- 1.6). &nbsp;Fasting blood sugar was 101mg/dl (+/- 32), mean systolic blood pressure was 123 mmHg (+/- 16) and mean diastolic blood pressure was 76 mmHg (+/- 12). &nbsp;While the sample was overweight (mean BMI 28.0 kg/m squared +/- 3.2), their risk score was 7.1% (+/- 3.7), or ?low risk? for ACS.&nbsp; Most of the participants were enlisted personnel (80%) and reservists (54%).&nbsp;Implications:&nbsp;Report of CV risk factors and socioeconomic status in deployed military men with a definitive diagnosis of premature CAD does not exist. Identification of risk factors associated with premature CAD can lead to policy changes on CV risk surveillance programs and risk management in young military men, especially prior to an overseas deployment. &nbsp;Findings from this study suggest that most military men with premature CAD are of lower socioeconomic status and require counseling about smoking cessation, weight management, and improving dyslipidemia.</td></tr></table>en_GB
dc.date.available2011-10-26T20:13:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:13:14Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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