• Pak J Med Sci · Nov 2023

    Osteoarthritis knee and modifiable cardiovascular risk factors: play in tandem.

    • Abrar Ahmed Wagan, Paras Surahyo, Abdul Qadir Bhutto, and Ammad Asghar.
    • Abrar Ahmed Wagan, MBBS, FCPS, FCPS, FACR Associate Professor of Rheumatology Indus Medical College, Tando Mohammad Khan.
    • Pak J Med Sci. 2023 Nov 1; 39 (6): 171117161711-1716.

    ObjectiveTo know the frequency of modifiable cardiovascular risk factors in knee osteoarthritis patients.MethodCross sectional study was done at Department of Rheumatology Indus Medical College, Tando Mohammad Khan from March 25, 2022 to November 24, 2022. Total 246 Osteoarthritis of knee cases with (Kellgren-Lawrence grad-II and above) on x-ray, were selected after demographic details, blood pressure, body mass index and physical examination was done, 5ml of venous blood was drawn by phlebotomist, sent for fasting blood sugar, serum lipids analysis and Framingham 10years risk score was calculated afterward for each participant.ResultsIn this study males (126) and females (120). Overall (78%) had risk factors, Patients having one CVD risk factor were (22.8%), two risk factors in (21.1%), three in (21.5%), four (9.8%) and five factors in (1.6%) while frequency of modifiable cardiovascular risk shows obesity (45.5%) hypertension (40.2%) intermediate to high risk of framingham score (40%) diabetes mellitus (25%), smoking (17%), high low density lipoproteins (8.1%). In males obesity(54.2%), hypertension (47.5% ) and (45.8%) were on medication, diabetes mellitus(31.7%), smoker(31%), high risk FRS(39.2%), K-L grade-IV(58.4%) and in females: obesity (42%), hypertension (43.7%) and (40.5%) were on medication, diabetes mellitus in (19%), smoking (4%), high risk FRS (13.5%), K-L Grade-4 (42%), significant association of diabetes mellitus, smoking, FRS and K-L grades with gender (p<0.05).ConclusionIn OA knee there is high prevalence of modifiable cardiovascular risk factors and together these imposes a major health risk for future cardiac events and disability.Copyright: © Pakistan Journal of Medical Sciences.

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