Prevalence of atherosclerosis risk factors in Egyptian patients with acute coronary syndrome: final data of the nationwide cross-sectional ‘CardioRisk’ project


  • Ashraf Reda Cardiology Department, Faculty of Medicine, Menofia University
  • Ahmed Bendary Cardiology Department, Faculty of Medicine, Benha University
  • Atef Elbahry Cardiology Unit, Port Fouad Centre, Port Fouad
  • Elsayed Farag Cardiology Department, Faculty of Medicine, Zagazig University
  • Tamer Mostafa Cardiology Department, Faculty of Medicine, Zagazig University
  • Hazem Khamis Cardiology Department, Faculty of Medicine, October University
  • Moheb Wadie Cardiology Department, Faculty of Medicine, Mansoura University
  • Mohamed Bendary Biostatistics Department, National Cancer Institute, Cairo University
  • Basant Abdoul Azeem Critical Care Department, Faculty of Medicine, Cairo University
  • Rehab Salah Faculty of Medicine, Benha University
  • For the Cardiorisk investigators*



Egypt; Acute coronary syndrome; Risk factors


Background: Little are known about the prevalence of atherosclerosis risk factors in Egyptian patients with acute coronary syndromes (ACS).
Objective: Describe the prevalence of these risk factors with focus on gender-specific data and patients with premature presentation.
Methods: From November 2015 to August 2018, data were collected from 3224 patients with ACS in 30 coronary care centers covering 11 governorates across Egypt, with focus premature ACS.
Results: The vast majority were males (74%) and the most prevalent age group was (56-65 years) representing 37% of whole study population. Among female patients, 92% were post-menopausal. The prevalence of premature ACS was 51%. Forty five percent of total males and 69.6% of total females with ACS had premature presentation (P<0.001). Abdominal obesity was the most prevalent risk factor (66%). Nearly half of the entire study patients were current smokers (48%). We showed a high prevalence of documented dyslipidemia (48%) as well. Early invasive management strategy was employed in 65% of patients with no significant gender disparity noticed. Vascular access for coronary angiography was most commonly femoral (80% of time). Emergent percutaneous coronary intervention (PCI) was attempted in 53% of patients. Thrombolytic therapy (using Streptokinase) was used in 24% of included participants.
Conclusion: Among Egyptian patients with ACS, premature presentation is common with greater male preponderance. Abdominal obesity is the most prevalent risk factor followed by hypertension. Most traditional risk factors (apart from smoking) were more prevalent in women than men.


* A complete list of contributors is available as ad hoc online appendix

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How to Cite

Reda, A., Bendary, A., Elbahry, A., Farag, E., Mostafa, T., Khamis, H., Wadie, M., Bendary, M., Abdoul Azeem, B., Salah, R., & For the Cardiorisk investigators*. (2021). Prevalence of atherosclerosis risk factors in Egyptian patients with acute coronary syndrome: final data of the nationwide cross-sectional ‘CardioRisk’ project. Journal of Public Health in Africa, 11(2).



Original Articles