Vol. 8, Issue 1, Part A (2025)

Background: Ischemic heart disease (IHD) is caused by inadequate blood and oxygen supply to the myocardium due to an imbalance between oxygen demand and supply, primarily due to atherosclerosis. This study compares the compliance of IHD patients with lifestyle changes and therapy to individuals with other conditions. It assesses adherence to medication, diet, exercise, and overall lifestyle to identify gaps and influencing factors. 
Method: A case-control study was conducted from January 1 to October 30, 2017, in Basra Governorate, involving 101 IHD patients (cases) and 130 individuals with other diseases (controls). Cases were diagnosed IHD patients receiving treatment at Al-Sadr Teaching Hospital’s Cardiac Care Unit or Medical Ward, while controls were non-IHD patients from outpatient clinics or other wards. Matching was based on age, sex, and place of residence. 
Results: Data were collected using a structured questionnaire covering demographics, education, occupation, smoking history, dietary changes, physical activity, and stress levels. IHD patients exhibited higher compliance with lifestyle changes and treatment compared to controls. However, public awareness of healthy lifestyle practices was found to be inadequate. 
Conclusion: Smoking, physical inactivity, and solid cooking oil consumption were more common among IHD patients. Non-IHD individuals were less adherent to lifestyle modifications. The study highlights the need for improved public education on healthy behaviors. Stronger preventive measures are essential to reduce modifiable IHD risk factors and promote healthier living.