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Question

Which amongst the following is the most powerful independent risk factor for atherosclerosis?

The correct answer is
Age

Atherosclerosis Risk Factors Explained

Atherosclerosis is a condition where arteries become narrowed and hardened due to the buildup of plaque, restricting blood flow.

Analyzing Key Risk Factors

Several factors contribute to the risk of developing atherosclerosis. Let's examine the options:

  • Age: The risk of atherosclerosis increases significantly with advancing age. Arterial changes are a natural part of aging, making it a major, unavoidable risk factor. Generally, risk rises notably for men after 45 and women after 55.
  • Hypertension: High blood pressure is a significant risk factor as it damages artery linings, facilitating plaque deposition. However, it is a modifiable risk factor.
  • Gender: While men tend to develop atherosclerosis earlier, the risk for women increases significantly after menopause, eventually nearing that of men. It's a contributing factor but often considered less impactful than age.
  • Physical Activity: A sedentary lifestyle is linked to obesity, hypertension, and diabetes, all contributing to atherosclerosis. However, physical activity is a modifiable lifestyle choice.

Identifying the Most Powerful Independent Factor

Age is considered the most powerful independent risk factor for atherosclerosis because it is:

  • Non-modifiable: Unlike hypertension or physical activity levels, age cannot be changed.
  • Universal: The risk progression associated with age affects nearly everyone, albeit at different rates.
  • Foundational: Biological changes accompanying aging inherently increase susceptibility to the processes involved in atherosclerosis.

While hypertension is a potent risk factor, age represents a more fundamental and unavoidable determinant of atherosclerosis risk.

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Important Questions from Ischemic Heart Disease

  1. Which amongst the following should be considered in a patient with acute chest pain and ST segment elevation in the precordial leads?
    1. Acute myocardial infarction
    2. Acute hyperkalemia
    3. Pericarditis
    4. Hypocalcemia
    5. Oesophagitis
    6. Pneumothorax
    Select the correct answer using the code given below.
  2. A 40-year old woman presents with sudden onset palpitations. An ECG done reveals narrow-QRS complex tachycardia. The most likely diagnosis is:
  3. An elderly-man with history of Diabetes mellitus and Coronary Artery Disease comes for follow-up, with complaints of muscle pains. Which one of the following drugs could be the most likely cause?
  4. All of the following are indications for treadmill testing/exercise-testing EXCEPT:
  5. A 70 year old man reports to the emergency with acute chest pain. ECG shows inferior wall Myocardial Infarction (MI). He has recently been discharged 7 days back following thrombolysis with streptokinase for Acute Anterior wall MI. What will be the appropriate management?
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