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International Journal of Vascular Medicine
Volume 2017, Article ID 1925176, 6 pages
Research Article

Polygamy and Risk of Coronary Artery Disease in Men Undergoing Angiography: An Observational Study

1Section of Adult Cardiology, Cardiovascular Department, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia
2Division of Cardiology, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA, USA
3Cardiovascular Department, Armed Forces Hospital, Southern Region, Khamis Mushayt, Saudi Arabia
4Cardiovascular Department, Zayed Military Hospital, Abu Dhabi, UAE
5Section of Pulmonology, Internal Medicine Department, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia
6Cardiac Center, King Abdullah Medical City in Holy Capital, Makkah, Saudi Arabia
7Cardiovascular Department, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
8Cardiovascular Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
9Emergency Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
10Section of Infectious Disease, Internal Medicine Department, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia
11Cardiovascular Department, Suez Canal University, Ismailia, Egypt
12College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE
13Institute of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, UAE

Correspondence should be addressed to Amin Daoulah; moc.oohay@haluoadnima

Received 20 August 2016; Accepted 5 January 2017; Published 30 January 2017

Academic Editor: Bhagwan Satiani

Copyright © 2017 Amin Daoulah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Epidemiologic evidence suggests a link between psychosocial risk factors such as marital status and coronary artery disease (CAD). Polygamy (multiple concurrent wives) is a distinct marital status practiced in many countries in Asia and the Middle East, but its association with CAD is not well defined. We conducted a multicenter, observational study of consecutive patients undergoing coronary angiography during the period from April 1, 2013, to March 30, 2014. Of 1,068 enrolled patients, 687 were married men. Polygamy was reported in 32% of married men (1 wife: 68%, 2 wives: 19%, 3 wives: 10%, and 4 wives: 3%). When stratified by number of wives, significant baseline differences were observed in age, type of community (rural versus urban), prior coronary artery bypass grafting (CABG), and household income. After adjusting for baseline differences, there was a significant association between polygamy and CAD (adjusted OR 4.6 [95% CI 2.5, 8.3]), multivessel disease (MVD) (adjusted OR 2.6 [95% CI 1.8, 3.7]), and left main disease (LMD) (adjusted OR 3.5 [95% CI 2.1, 5.9]). Findings were consistent when the number of wives was analyzed as a continuous variable. In conclusion, among married men undergoing coronary angiography for clinical indications, polygamy is associated with the presence of significant CAD, MVD, and LMD.