Cardiovascular Risk Prediction, Glycemic Control, and Determinants in Diabetic and Hypertensive Patients in Massawa Hospital, Eritrea: Cross-Sectional Study on 600 Subjects

“A STUDY OF MICROALBUMINURIA IN NON DIABETIC HYPERTENSIVE PATIENTS”

10.36106/ijar/6200318 ◽

2020 ◽

pp. 1-3

Author(s):

Anup Latne ◽

Prabhakar Jirvankar

Keyword(s):

Cardiovascular Risk ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Low Grade ◽

Major Public Health Problem ◽

Sectional Study ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Hypertensive Patients

Hypertension is a major public health problem all over the world. The incidence of hypertension is increasing year after year and the prevalence of hypertension is increasing day by day due to increased life expectancy and aging population and their sedentary lifestyle. Hypertension is known to cause microvascular changes and increased cardiovascular risk from it. Microalbuminuria possibly reflects a state of increased renal endothelial permeability and is an easily measured marker of rather diffuse endothelial dysfunction, low grade inflammation and vascular disease burden2. Microalbuminuria has been determined as an important prognostic indicator and has been reported to be associated with increased cardiovascular risk and progressive renal damage. Reliable data on the prevalence of microalbuminuria in the general population and its association with cardiovascular risk factors is limited. Till now, there is little data available regarding screening and early treatment of hypertensive patients with microalbuminuria, as in the case of microalbuminuric non diabetic subjects. With these perspective this cross sectional study of microalbuminuria in non-diabetic hypertensive patients was undertaken to study prevalence of microalbuminuria in Non Diabetic hypertensive patients. Objectives: To determine the prevalence of microalbuminuria in non-diabetic hypertensive patients and to correlate the presence of microalbuminuria with the patients of different clinical profiles. Materials and Methods: This was observational, cross sectional study of Patients diagnosed with hypertension either admitted in ward or attending OPD of Medical College and Tertiary Care Centre. Urine microalbumin creatinine ratio was used for estimation of microalbuminuria. Conclusion: It was proved that microalbuminuria prevalence was directly proportional to the duration of hypertension, the stage of hypertension. Prevalence of microalbuminria was low in ACE inhibitor and ARB treated hypertensive patients.

Download Full-text

A community based cross sectional study to estimate total cardiovascular risk in rural Punjab

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171365 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1295

Author(s):

Bibhava Vikramaditya ◽

Mahesh Satija ◽

Anurag Chaudhary ◽

Sarit Sharma ◽

Sangeeta Girdhar ◽

...

Keyword(s):

Cardiovascular Risk ◽

Cardiovascular Diseases ◽

High Risk ◽

Risk Prediction ◽

Cross Sectional Study ◽

World Health ◽

Sectional Study ◽

Cvd Risk ◽

Community Based ◽

Cross Sectional

Background: Cardiovascular diseases (CVD) are leading cause of non communicable deaths in India. CVD risk prediction charts by World Health Organization/International Society of Hypertension (WHO/ISH) are designed for implementing timely preventive measures. The objective of the study was to assess the prevalence of CVD risk parameters and to estimate total CVD risk among adults aged ≥40 years, using the WHO/ISH risk charts alone and also to assess the effect of the inclusion of additional criteria on CVD risk.Methods: A community based cross sectional study was conducted in fifteen villages of Ludhiana district under rural health training centre of Department of Community Medicine, Dayanand Medical College & Hospital, Ludhiana, Punjab. Desired information was obtained using WHO STEPS survey (STEP wise approach to surveillance) from 324 adults aged ≥40 years. Anthropometric, clinical and laboratory measurements were also performed. WHO/ISH risk prediction chart for South East Asian region (SEAR-D) was used to assess the cardiovascular risk among the subjects.Results: WHO/ISH risk prediction charts identified 16.0% of the subjects with high risk (≥20%) of developing a cardiovascular event. The study population showed higher prevalence of physical inactivity, obesity, abdominal obesity, hypertension and diabetes. Amongst high risk CVD group, maximum prevalence was of hypertension and high perceived stress level. However, the proportion of high CVD risk (≥20%) increased to 33.6% when subjects with blood pressure ≥160/100 mmHg and /or on hypertension medication were added as high risk.Conclusions: A substantial proportion of this community is at high risk of developing cardiovascular diseases.

Download Full-text

Assessment of Cardiovascular Risk for Prevention and Control of Cardiovascular Disease in Ghana’s Northern Region A Cross-sectional Study of 4 Rural Districts using World Health Organization / International Society of Hypertension (WHO/ISH) Risk Prediction Charts

Global Journal of Health Science ◽

10.5539/gjhs.v13n6p1 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1

Author(s):

Sandra M. Skerratt ◽

Olivia G. Wilson

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Risk Prediction ◽

Cardiovascular Event ◽

Cross Sectional Study ◽

Northern Region ◽

Sectional Study ◽

Cvd Risk Factors ◽

Cvd Risk ◽

Cross Sectional

Ghana is experiencing an increase in cardiovascular (CVD) -related mortality with poor rural communities suffering greater complications and premature deaths. The point of this exploratory research is to evaluate the prevalence of CVD risk factors and to calculate the cardiovascular risk among adults aged > 40 years in Ghana’s Northern Region. A cross-sectional study was performed with 536 subjects. A pre-tested questionnaire, anthropometric measurements, and standardized WHO/ISH risk prediction charts assessed for 10-year risk of a fatal or non-fatal major cardiovascular event according to age, sex, blood pressure, smoking status, and diabetes mellitus status. Low, moderate and high CVD prevalence risk in females was 88.4%, 7.1%, and 4.5% while in males the prevalence was 91.3%, 5.8%, and 2.9%, respectively. Hypertension was noted as a clinically significant risk factor with females at 37.3% versus males at 32%. The 10-year risk of a fatal or non-fatal cardiovascular event was statistically significant for females according to age group. A moderate to high CVD risk of a fatal or non-fatal cardiovascular event was found in 10.4% of subjects. Notable CVD risk factors included a high prevalence of hypertension. Decentralizing care to local village healthcare facilities is one way to tackle cardiovascular risk reduction. Task shifting of primary care duties from physicians to nurses in terms of cardiovascular (CV) risk assessment and management of uncomplicated CV risk factors is a potential solution to the acute shortage of trained health staffs for the control and prevention of CVD in Northern Ghana.

Download Full-text

Prediction of cardiovascular risk in a rural Indian population using WHO/ISH risk prediction charts: a community-based cross-sectional study

Drugs & Therapy Perspectives ◽

10.1007/s40267-018-0515-1 ◽

2018 ◽

Vol 34 (8) ◽

pp. 386-391

Author(s):

B. R. Venkhat Balaji ◽

M. G. Rajanandh ◽

N. Udayakumar ◽

P. Seenivasan

Keyword(s):

Cardiovascular Risk ◽

Risk Prediction ◽

Indian Population ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

Download Full-text

Correlation of Glycemic Control Parameters in Non-Diabetic Persons with Cardiovascular Risk Scores - Results from a Cross- Sectional Study

Revista de Chimie ◽

10.37358/rc.17.1.5399 ◽

2017 ◽

Vol 68 (1) ◽

pp. 108-110

Author(s):

Gina Botnariu ◽

Norina Forna ◽

Alina Popa ◽

Raluca Popescu ◽

Alina Onofriescu ◽

...

Keyword(s):

Cardiovascular Risk ◽

Glycemic Control ◽

Tolerance Test ◽

Cross Sectional Study ◽

Risk Scores ◽

Oral Glucose ◽

Cross Sectional ◽

University Of Edinburgh ◽

Fasting Glycaemia ◽

The University

To assess the correlation between main parameters of glycemic control and cardiovascular risk scores in non-diabetic persons. Risk scores were calculated by using the University of Edinburgh Risk Calculator. Risk scores are used to estimate the probability of cardiovascular disease in individuals who have not already developed major atherosclerotic disease. We correlated the results of these scores with the parameters that describes the glycaemic profile: preprandial glicaemia, HbA1c and 1 hour and 2 h post-prandial glycaemia, determined during Oral Glucose Tolerance Test (OGTT).Both fasting glycaemia and HbA1c significantly correlated with cardiovascular risk scores calculated for a period of 10 years. The recorded post-prandial glycaemic values at 1h and 2h after glucose loading didn�t significantly correlate with calculated scores, in the study group. The observed correlations underline the importance of glycaemia in the pathogenesis of cardiovascular diseases.

Download Full-text