Journal of Family Medicine and Primary Care

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


David Gregg Smith Ponraj1, Sri Keerthana Gopikrishnan1, Ariarathinam Newtonraj1, Mark Christopher Arokiaraj2, Anil Jacob Purty1, Sunil Kumar Nanda3, Mani Manikandan1, Antony Vincent1 
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

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.


How to cite this article:
Ponraj DG, Gopikrishnan SK, Newtonraj A, Arokiaraj MC, Purty AJ, Nanda SK, Manikandan M, Vincent A. Cardiovascular risk using WHO-ISH chart among Diabetes and Hypertensive patients in a remote rural area of South India.J Family Med Prim Care 2020;9:4145-4150


How to cite this URL:
Ponraj DG, Gopikrishnan SK, Newtonraj A, Arokiaraj MC, Purty AJ, Nanda SK, Manikandan M, Vincent A. Cardiovascular risk using WHO-ISH chart among Diabetes and Hypertensive patients in a remote rural area of South India. J Family Med Prim Care [serial online] 2020 [cited 2021 May 14 ];9:4145-4150
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=8;spage=4145;epage=4150;aulast=Ponraj;type=0