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Volume 6 Issue 3 (March, 2018)

Original Articles

A Study of Clinical and Cardiovascular Profile in Tobacco Addicts (>10 years) in under 50 years of age in a Medical College Hospital
Keshav Singh, Amit Badole, Manoj Indurkar, Praveen Kumar Baghel, M.K. Jain

Background: Tobacco use continues to be the leading global cause of preventable death. It kills nearly 6 million people and causes hundreds of billions of dollars of economic damage worldwide each year. Most of these deaths occur in low- and middle-income countries, and this disparity is expected to widen further over the next several decades. This study is being taken up with the modest aim of identifying occult coronary artery disease in tobacco addicts and to correlate the results with mode, quantity, duration and distribution to tobacco addiction. Materials and Methods: 200 cases were taken who were addicted to tobacco and were between the ages of 24-50 and had been consuming tobacco in any form for at least 10 years. Detailed history was taken and routine haematological and biochemistry tests were undertaken along with Chest x ray, ECG and Treadmill test. Results: Maximum number of tobacco addicts i.e. 87 (43.5%) were in the 41-50 years age group. Chewing was the most common form of addiction. 79 patients i.e. 39.5% consumed more than 6-10 gm/day. Atypical chest pain was the most common presenting symptom in tobacco addicts. Conclusion: Our study revealed there is a positive co relation between tobacco chewing and hypertension. Most tobacco addicts complained with chest pain however TMT positivity was more in those with abdominal pain. The TMT positivity increased with the duration of tobacco addiction and not with the quantity. Key words: Cardiovascular Profile, Tobacco Addicts.

 
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