Cardiovascular Disease Epidemiology

In the Indian population, what is the most common anatomical site of acute myocardial infarction?

Which of the following risk factors shows the strongest population attributable risk (PAR) for cardiovascular disease in India?

A 52-year-old man from urban Delhi with a 10-year history of hypertension (BP 160/100 mmHg) and dyslipidemia presents for cardiovascular risk assessment. He is asymptomatic with no prior cardiac events. Which investigation is most appropriate to identify subclinical atherosclerosis and guide intensity of preventive therapy?

A 52-year-old woman from urban Delhi attends a workplace health screening. She is a sedentary office worker, non-smoker, no alcohol use. Her mother had a myocardial infarction at age 58. Vital signs: BP 132/86 mmHg, HR 76/min. Investigations: fasting glucose 102 mg/dL, total cholesterol 210 mg/dL, LDL 135 mg/dL, HDL 38 mg/dL, triglycerides 165 mg/dL, waist circumference 92 cm. She has no chest pain or dyspnoea. According to the Indian cardiovascular risk assessment guidelines, which of the following best describes her 10-year absolute cardiovascular risk category?

A 48-year-old woman from Mumbai with metabolic syndrome (waist circumference 95 cm, fasting glucose 118 mg/dL, triglycerides 180 mg/dL, HDL 38 mg/dL) and family history of premature MI in her father (age 55) presents for cardiovascular risk evaluation. Which investigation best identifies functional myocardial ischemia to guide further management?