[01] Amara R., Arab Board Residency Training Program, Baghdad, Iraq. [02] Hussein H., School and Educational Institutions Health Unit, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai , UAE. [03] Al Faisal W., School and Educational Institutions Health Unit, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai , UAE. [04] Alhadi A., Arab Board Residency Training Program, Baghdad, Iraq.

Background: It is estimated that around 20-25 percent of the world's adult population have the metabolic syndrome and they are as twice as likely to die from and three times as likely to have a heart attack or stroke compared with people without the syndrome. Objectives: To estimate metabolic factors among adult patients of Ischemic Heart Disease in Mysan, Iraq. Methodology: A group matched case–control was chosen in Maysan province, Iraq. Cases were selected from patients with MI admitted to the medical unit at Al-Sadr teaching hospital. Their ages are ranged from 30 to 78 years old, while controls were patients complaining of acute illnesses attending the same hospital seeking medical care and should be free from MI. Convenient sample was used of 200 cases and 200 controls. Results: Raised blood pressure was reported in 114 cases (57%) and 62 controls (31%) and it’s significantly higher among cases than controls. Elevated fasting blood glucose was reported in 132 cases (66%) and 82 controls (41%), and it’s significantly higher among cases than controls. High serum level of triglycerides was detected in 97 cases (48.5%) and 68 controls (34%) MI cases were about 1.8 folds more likely to have high triglycerides levels than controls. Low concentration of HDL cholesterol was found in 81(40.5%) cases and 38 controls (19%), it had been significantly found that low HDL level were more frequent among MI cases than controls. Twelve MI cases (6%) and 7 controls (3.5%) had Proteinuria although this finding was clinically significant, it was statistically not significant. Conclusions: Metabolic Disorders were reported to be higher in patients with MI. FBG was the most predictor for MI followed by HDL. The most associated cofounder was BMI. There is a need to establish a health facility based screening system for early detection of MS.

Ischemic Heart Disease, Metabolic Factors, Iraq, Adults

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