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Estimation of the cardiovascular risk using world health organization/international society of hypertension risk prediction charts in Central Vietnam.
oleh: Ho Anh Hien, Nguyen Minh Tam, Vo Tam, Huynh Van Minh, Nguyen Phuong Hoa, Stefan Heytens, Anselme Derese, Dirk Devroey
| Format: | Article |
|---|---|
| Diterbitkan: | Public Library of Science (PLoS) 2020-01-01 |
Deskripsi
<h4>Introduction</h4>Cardiovascular disease (CVD) being the leading cause of the morbidity and mortality in Vietnam, the objective of this study was to estimate the total 10-year CVD risk among adults aged 40-69 years by utilizing World Health Organization/International Society of Hypertension (WHO/ISH) risk prediction charts in Central Vietnam.<h4>Materials and methods</h4>In this cross-sectional study, multi-staged sampling was used to select 938 participants from a general population aged from 40 to 69. The CVD risk factors were then collected throughout the interviews with a standardized questionnaire, anthropometric measurements and a blood test. The cardiovascular risk was calculated using the WHO/ISH risk prediction charts.<h4>Results</h4>According to the WHO/ISH charts, the proportion of moderate risk (10-20%) and high risk (>20%) among the surveyed participants were equal (5.1%). When "blood pressure of more than 160/100 mmHg" was applied, the proportion of moderate risk reduced to 2.3% while the high risk increased markedly to 12.8%. Those proportions were higher in men than in women (at 18.3% and 8.5% respectively, p-value <0.001, among the high-risk group), increasing with age. Male gender, smoking, ethnic minorities, hypertension and diabetes were associated with increased CVD risk.<h4>Conclusions</h4>There was a high burden of CVD risk in Central Vietnam as assessed with the WHO/ISH risk prediction charts, especially in men and among the ethnic minorities. The use of WHO/ISH charts provided a feasible and affordable screening tool in estimating the cardiovascular risk in primary care settings.