Pregnancy complications and maternal cardiovascular risk: opportunities for intervention and screening?

Associaton of Teenage Pregnancy with Acute Coronary syndrome

Manzar Hossein akbar;
Heshmat Cardiovascular research center Rasht,
Guilan University of Medical Sciences, Iran

Background: Females are biologicaly different, so is the process of
coronary disease (CAD) in women. Teenage pregnancy is common in third
world society.

We studied the relation of age at first pregnancy to the major modifiable
CAD risk factors and out come of Acute Coronary syndrome in rural women
aged
40-59 years.

Method: This is a hospital based descriptive prospective cross
sectional study using self reported age at first pregnancy of 120 rural
women admitted for the first time with the confirmed diagnosis of Acute
Coronary syndrome. Age on admission, demography, documentations of major
major modifiable CAD risk factors and out come of Acute Coronary syndrome
were extractedfrom hospital case record and analyzed by standard research
methodology. Chi 2 test was used for comparison.

Results: The mean age at first pregnancy of 120 CAD patients was 19.2
years
(Range 14-29 years. Mode= 18-20 years). Most of the patients were aged 49
years or younger, 64 (58 %) patients reported their age as 19 or younger
at the time of first pregnancy (Study Group). While 56 (42 %) were
within the age group of 20-29 years on first pregnancy (Control group).
(69 %) patients of teenage pregnancy were suffering from metabolic
syndrome in comparison of (31 %) in control group having three major
modifiable CAD risk factors or more.

Conclusion: This study revealed the
significant association of Metabolic Syndrome and developement of
premature Acute Coronary syndrome in women with teenage pregnancy.

Competing interests:
Age at First Pregnancy (teenage)is also linked to Metabolic Syndrome