Publications by authors named "Joseph Andy"

2 Publications

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Coronary artery disease and the profile of cardiovascular risk factors in South South Nigeria: a clinical and autopsy study.

Cardiol Res Pract 2014 10;2014:804751. Epub 2014 Mar 10.

Department of Chemical Pathology, University of Calabar Teaching Hospital, PMB 1278, Calabar, Cross River State, Nigeria.

Introduction. Death from coronary artery disease (CAD) has been until recently considered rare in Nigeria. We present a report of a study of CAD with its predisposing cardiovascular (CVD) risk factors in South South Nigeria. Methods. We examined the autopsy reports of 747 coroner cases and 41 consecutive clinically diagnosed cases of ischemic heart disease seen in South South Nigeria. Results. CAD was diagnosed in 13 (1.6%) of 747 autopsies. They were predominantly males, urban residents, and of high social class with combination of CVD risk factors of hypertension, alcohol use, diabetes mellitus, cigarette smoking, poor physical activities, and obesity. The mean serum cholesterol of the clinical subjects was 4.7 ± 1.57 mmol/L and 5.07 ± 1.94 mmol/L for angina and myocardial infarction, respectively, which was higher than the mean total cholesterol for locality of 3.1 mmol/L. Conclusion. CAD and its risk factors are contributing to mortality and morbidity in South South Nigeria. These risk factors include hypertension, alcohol use, diabetes mellitus, cigarette smoking, poor physical activity, and obesity. Nigerians in this locality with CAD have raised serum lipids.
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April 2014

Prevalence and correlates of hypertension among the Ibibio/Annangs, Efiks and Obolos: a cross sectional community survey in rural South-South Nigeria.

Ethn Dis 2012 ;22(3):335-9

Department of Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, A K S, Nigeria.

Objective: The objective of the study was to assess the public health burden of hypertension in the rural communities in southeastern Nigeria (Niger Delta region of Nigeria).

Design/setting: The study was a cross-sectional study in three rural communities in the Cross River and Akwa Ibom States of Nigeria. Demographic, anthropometric information, prior history of hypertension or stroke in each participant or their parents was obtained with a questionnaire. Height, weight, systolic blood pressure (SBP), and diastolic blood pressure (DBP) of respondents were measured by standard methods, and body mass index calculated.

Result: The N of respondents was 3869; 1608 (41.6%) males, 2261 (58.4%) females; 1120 (29.0%) Efiks, 1877 (48.5%) Ibibio/Annangs, and 872 (22.5%) Obolos. Mean SBP and DBP were significantly higher in males than in females (P < .001). Prior awareness of hypertension was 2.8%. The overall prevalence of hypertension was 914 (23.6%); 31.2% males and 18.1% females (P < .001). The prevalence of hypertension in the ethnic groups was 479 (25.5%) among Ibibio/Annangs; 287 (25.6%) among the Efiks and 130 (14.9%) among the Obolos. Prehypertension occurred in 17.2% of total population, 17.5% males and 16.9% females (P = .66).

Conclusion: Hypertension is already a major public health burden in rural communities of these two states, despite a very low incidence of obesity and cigarette smoking.
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October 2012