While relatively detailed information about the prevalence of single or several cardiovascular risk factors is available (8), little consensus exists about which risk factors might be expected to commonly cluster together in a population(9).The WHO recently counseling an approach to prevention of non communicable diseases which focuses on tackling multiple modifiable risk factors. Also, few studies have been conducted about the longitudinal stability of subclasses risk factors for CVD.
The association between these risk factors and (CVD) has been well established in prior studies (10-13) patients with CVD are a heterogeneous mass with regard to their risk factors levels at the