Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 903
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 9  |  Issue : 8  |  Page : 4145-4150

Cardiovascular risk using WHO-ISH chart among Diabetes and Hypertensive patients in a remote rural area of South India


1 Department of Community Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India
2 Department of Cardiology, Pondicherry Institute of Medical Sciences, Puducherry, India
3 Department of Biochemistry, Pondicherry Institute of Medical Sciences, Puducherry, India

Correspondence Address:
David Gregg Smith Ponraj
Department of Community Medicine, Pondicherry Institute of Medical Sciences, Pondicherry - 605014
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_538_20

Rights and Permissions

Introduction: Cardiovascular diseases (CVDs) are major problems in India and many other developing and developed countries. As India is committed to provide universal health care for the population, there is a need to find out the prevalence and determinants of CVD risk among high-risk individuals (Diabetes and Hypertensive patients) in the remote rural area of India to deliver appropriate services, as they are considered as neglected population. Methods: We screened high-risk individuals (Hypertension and Diabetes patients) for CVD risk using WHO/ISH chart, in a remote rural area of south India, covering ten villages surrounding the Rural Health Training Centre (RHTC), in August–September 2017. After line-listing the participants from the electronic database of RHTC, screening with questionnaire and biochemical tests was done at village level as the first step. Thereafter, the participants were invited to the hospital on a particular day where electrocardiography (ECG) and echocardiography (ECHO) were done with special consultation. Results: Among the total of 303 individuals screened at the village level, 64 [21%(CI 17–25)] had a higher risk for CVD. 235 people attended the special consultation; among them, 212 underwent ECG and 88 underwent ECHO. Among those screened with ECHO, 18 had some cardiac pathologies. The relationship between CVD risk and other factors is shown in. After final adjustment, illiteracy [adjusted prevalence ratio (aPR) 1.8 (0.1–3.1)], anemia [aPR 1.8 (1–3.6)], and chronic renal diseases [aPR 1.8 (1.0–3.4)] were found to be associated with high risk for CVD among hypertension and diabetes groups. Conclusion: Cardiovascular disease risk assessment using WHO/ISH chart showed an association with poor education, anemia, and chronic kidney disease.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed97    
    Printed2    
    Emailed0    
    PDF Downloaded26    
    Comments [Add]    

Recommend this journal