Indians have increased risk of Coronary Artery Disease due to smaller body surface area, reveals study

(Representational Image: iStock)


Indians do not have an increased risk for Coronary Artery Disease (Heart Disease) because of their smaller diameters of arteries, but it is because of their smaller Body Surface Area, revealed a study conducted by researchers from Department of Cardiology and Radiology, Sir Ganga Ram Hospital has found.

The study which was conducted on 250 patients has been published in Journal of Indian College of Cardiology on 14 September 2022.

The results are contrary to general public perception that Indians suffer more of Coronary Artery Disease due to small diameter of arteries.

According to Dr J.P.S Sawhney, Author and Chairman, Department of Cardiology, Sir Ganga Ram Hospital , “We found that 51% were hypertensive, 18% were diabetic, 4%were smoker, 28% were dyslipidemic, and 26% had a familyhistory of Heart Disease . “

 Dr Ashwani Mehta, Author & Senior Consultant, Department of Cardiology, Sir Ganga Ram Hospital, “The study found that the mean vessel diameters for males were significantly larger thanthose for females, but when indexed to Body Surface Area , these values arenot significant. There had been assumption that Asians andparticularly Indians have increased risk for atherosclerosis (fatty deposit in arteries ) because of their small coronary artery diameters.”

However, from our observational study, it is proved that the coronary artery dimensions in Indian population are not small, but it isdue to their small Body Surface Area. Thus, the rationale for small dimensions of arteries being a risk factor for Coronary Artery Disease is not valid in Indian population, added Dr Mehta.

Dr. BhuvneshKandpal, Author and Senior Consultant, Department of Cardiology, Sir Ganga Ram Hospital said, “This study was done to estimate the size of normal coronary arteries in Indian population, and see if there is any significant difference when compared to the Caucasian population. This study also mightprovide some insight into the use of diameters indexed to BSA as a cutoff for deciding the need for re-vascularization (a procedure that can restore blood flow in blocked arteries or veins ) .”