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February 2021 -
Volume 19, Issue 2


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From the Editor

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Original contribution

Prevalence of Systolic Heart Failure in Patients with Dementia in Sa udi Arabia: Single-center retrospective data review
[pdf]
[Abstract]
Mazen Basheikh, Ayman AlQayidi, Mohammed Addas, Mohammed Al-Zanbaqi,
Abdulaziz Abumelha, Mohammed Basheikh
DOI: 10.5742/MEWFM.2021.93975

Astigmatism among children in Jeddah, Saudi Arabia: prevalence and associated factors
[pdf]
[Abstract]
Ahmed Basheikh, Sara Howldar, Mohammed Basendwah, Rasha Baqais,
Motaz Bamakrid, Nizar Alhibshi
DOI: 10.5742/MEWFM.2021.93976

Iodine in Table Salt in the Aseer Region, Southwestern Saudi Arabia
[pdf]
[Abstract]
Ayyub Ali Patel
DOI: 10.5742/MEWFM.2021.93977

Foot care among recently diagnosed diabetic patients in Muhayel, Aseer Region, Saudi Arabia
[pdf]
[Abstract]

Abdullah A. Hassan, Yahia M. Alkhaldi, Bassam M.K. Mawkili, Bandar A.M. Al-Mudawi, Ayidh A.A. Alasmari
DOI: 10.5742/MEWFM.2021.93978

Minor Head Injury: Quality Improvement Project
[pdf]
[Abstract]
Shabana Shaheen, Muhammad Hameed, Yousef Essam Hassan Qabeel
DOI: 10.5742/MEWFM.2021.93980

Difficulties and Barriers of Primary Health Care Physicians in Rural Areas of Aseer Region, Saudi Arabia
[pdf]
[Abstract]
Mastor A.M. Alshahrani, Mohammed A. Alsaleem, Safar A. Alsaleem, Mohammed A. Alfaya, Muhammed A.Y. Alkhairi, Amjad M.H. Alshahrani,
Mohammed H. Alghamdi, Waleed K.S. Qubayl, Ahmed Y. Mushari
DOI: 10.5742/MEWFM.2021.93982

Association between obesity and mental disorders among male secondary school students in Abha, Kingdom of Saudi Arabia: A Predictor based Cross-Sectional Study
[pdf]
[Abstract]
Mubarak M.A. Alshahrani, Mohammed A. Alsaleem, Safar A. Alsaleem,
Mohammed Al-Masoudi, Eman M. Alshahrani, Abdulrahman M. Alshahrani, Khalid M. Alshehri, Suliman A. Asiri, Ahmed M. Asiri, Ahmed A. Asiri, Ahmed H. Alabdali
DOI: 10.5742/MEWFM.2021.93983

Population and Community Health

Use of eye drops self-medication in Aseer region, Southern Saudi Arabia
[pdf]
[Abstract]
Abdulrahman Alamri, Razan Asiri, Abdulaziz Alnami, Raneem Hijazi,
Lamya Almobty
DOI: 10.5742/MEWFM.2021.93984

Impact of acne on quality of life among university students
[pdf]
[Abstract]
Ghadah Mohammad Alasbi, Fatima Riaz, Halimah Nasser Kidwan,
Zanah Abdullah Assiri, Tabinda Ashfaq, Eisa Yazeed Ghazwani,
Razia Aftab Ahmad
DOI: 10.5742/MEWFM.2021.93985

Frequency of Esophageal Carcinoma and Delay in Diagnostic Workup; A Multi-centre Experience from Southern Pakistan
[pdf]
[Abstract]
Mohsin Javed, Irtiza Ahmed Bhatti, Nazish Jaffar, Ghulam Haider, Zareen Irshad,
Saroona Haroon
DOI: 10.5742/MEWFM.2021.93986

Awareness and Attitudes towards Common Eye Diseases among the General Population of Southern region of Saudi Arabia
[pdf]
[Abstract]
Waleed A Aldhabaan, Bander Bin Saleh Alsalmy Asiri, AbdulRahman Saad M. Alahmari, Hossien Saad S.Alqahtani, Aeyd Jobran A. AlHashim, Ahmed Saad T Alshahrani
DOI: 10.5742/MEWFM.2021.93987

Perception of food allergy among mothers of allergic children in Southwestern Saudi Arabia
[pdf]
[Abstract]
Youssef A. Alqahtani, Ayed A. Shati, Ahmad A. Alhanshani, Bayan M. Hanif,
Eman S. Salem, Aljohrah M. Hanif, Ali Alsuheel Asseri
DOI: 10.5742/MEWFM.2021.93988

Insomnia and social network use among secondary school female students in Abha Sector
[pdf]
[Abstract]
Huda Ali Almusa
DOI: 10.5742/MEWFM.2021.93989

Covid 19

Self-isolation during the COVID-19 pandemic is associated with increased risk of burnout among physician trainees: A cross sectional study
[pdf]
[Abstract]
Ali Farsi, Soha A Alomar, Mai Kadi, Sara Farsi, Haifa Algethamy, Bashar Reda,
Saud A Bahaidarah, Alya Binmahfouz, Mohammed O Nassif, Ali Samkari,
Majdy M Qutub, Ibrahim Alnoury, Husam Malibary, Abdullah Bakhsh,
Hattan A Aljaaly, Ehab Alsayyed, Nouf Akeel, Waleed Alghamdi,
Abdulaziz Saleem, Nadim Malibary, Omar Baghlaf, Nora Trabulsi
DOI: 10.5742/MEWFM.2021.93991

Diagnostic and therapeutic option of Covid-19; A systematic review
[pdf]
[Abstract]
Ahmed Mohammed Ahmed AlJohani, Taif Jameel Ahmed Tharwat,
Khalid Waleed Mahrous, Rafa Hassan Hashim Alsharif,
Reenad Saeid Farghali Ghunaim, Abdulaziz Ali Alghamdi, Ahmed Abdullah AlJohani, Omar Mohammad Almatrafi, Mernan Mohammed Mahrous,
Abdullah Majid Alharbi, Osama Abdulsalam Alquliti, Yaser Abdulsalam Alqelaiti,
Areej Hesham Al Arabi
DOI: 10.5742/MEWFM.2021.93993

Education and Training

Preference of final year medical students towards family medicine as a career choice: A comparative study from Pakistan
[pdf]
[Abstract]
Tabinda Ashfaq, Faisal Shahzad, Aiesha Ishaq, Sajida Naseem, Fahad Saleem
DOI: 10.5742/MEWFM.2021.93995

Treatment of Hepatitis C with Glecaprevir/Pibrentasvir in a Patient with Concurrent Stricturing Crohn's Disease on Adalimumab
[pdf]
[Abstract]
Almoutaz Hashim
DOI: 10.5742/MEWFM.2021.93996

Review

Primary prevention of Cardiovascular Diseases among the Middle aged and the Elderly
[pdf]
[Abstract]
Naglaa Mohammed Ahmed Abdelrahim Omer, Wafaa Yousuf, Noof Mansouri
DOI: 10.5742/MEWFM.2021.93997

Management of depression in primary care - A cross-sectional study in the North-East of England, UK
[pdf]
[Abstract]
Reshma Hegde, Prinul Gunputh, Baxi Sinha DOI: 10.5742/MEWFM.2021.93998



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

February 2021 - Volume 19, Issue 2

Primary prevention of Cardiovascular Diseases among the Middle aged and the Elderly

Corresponding author:
Naglaa Mohammed Ahmed Abdelrahim Omer
Email: nogahmad@yahoo.com

Received: December 2020; Accepted: January 2021; Published: February 1, 2021. Citation: Naglaa Mohammed Ahmed Abdelrahim Omer, Wafaa Yousuf, Noof Mansouri. Primary prevention of Cardiovascular Diseases among the Middle aged and the Elderly. World Family Medicine. 2021; 19(1): 146-166 DOI: 10.5742/MEWFM.2021.93997

Abstract

Aim: To define the best practice guidelines for primary prevention of cardiovascular diseases in middle age individuals as well as the elderly.

Study design and Methodology: Narrative review study for RCT, clinical trials and systematic review studies published in English language from 2003-2018; in middle age individuals as well as the elderly. Search was conducted in Pubmed and Google Chrome. Terms used for searching were (best practice guidelines) and (primary prevention of cardio-vascular disease).

Results: The total number of study search items was 2020 studies and after filtering them, the matching studies were 70: 38 studies were excluded whereas 32 studies were included. Six studies were about statins therapy in primary prevention of CVD in the elderly. Five studies were about statin benefits for primary prevention of cardiovascular disease in middle age individuals. Nine studies were about non-statin therapy. Five studies were about blood pressure control and primary prevention of cardiovascular disease. Seven studies were about aspirin for primary prevention of cardiovascular disease in diabetics.


Conclusion: Statins are beneficial for primary prevention of cardiovascular disease in middle age individuals as well as the elderly who had dyslipidemia or were diabetic aged 40-75 years, or 10-years CVD risk =>7.5% according to AHA/ACC, or =>10% in accordance with the guidelines for both NICE and USPSTF. There is no definite evidence for non-statin therapy benefit for primary prevention of CVD but it can be used in hypercholesterolemia patients or high CVD risk patients who do not tolerate statins or have not responded to the maximum dose of statins. There was no evidence for aspirin benefit in primary prevention of CVD in diabetics. Immediate blood pressure control is important in the primary prevention of CVD in hypertensive patients with high cardiovascular risk.

Key words: Cardiovascular diseases, middle aged, elderly


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