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

David Gregg Smith Ponraj1, Sri Keerthana Gopikrishnan1, Ariarathinam Newtonraj1

  • 1Department of Community Medicine, Pondicherry Institute of Medical Sciences, Puducherry, India.

Journal of Family Medicine and Primary Care
|October 28, 2020
PubMed

Insights

Cardiovascular disease (CVD) risk is high in rural Indian patients with diabetes and hypertension. Illiteracy, anemia, and chronic kidney disease are key associated factors, highlighting the need for targeted interventions.

Area of Science:

  • Public Health
  • Cardiology
  • Epidemiology

Background:

  • Cardiovascular diseases (CVDs) pose a significant global health challenge, particularly in developing nations like India.
  • High-risk populations, including individuals with diabetes and hypertension in remote rural areas, are often underserved and require focused attention for CVD prevention.

Purpose of the Study:

  • To determine the prevalence and risk factors of cardiovascular diseases (CVDs) among high-risk individuals in a rural South Indian setting.
  • To identify specific determinants associated with increased CVD risk in diabetic and hypertensive patients.

Main Methods:

  • Screening of high-risk individuals (diabetes and hypertension patients) for CVD risk using the WHO/ISH chart in ten rural villages.
  • Utilized questionnaires, biochemical tests, electrocardiography (ECG), and echocardiography (ECHO) for comprehensive risk assessment.
  • Data collected from August-September 2017.

Main Results:

  • Out of 303 individuals screened, 21% (64) exhibited higher CVD risk.
  • Echocardiography revealed cardiac pathologies in 18 individuals.
  • Illiteracy (aPR 1.8), anemia (aPR 1.8), and chronic renal diseases (aPR 1.8) were significantly associated with increased CVD risk.

Conclusions:

  • Cardiovascular disease risk assessment in this rural population identified significant associations.
  • Poor education, anemia, and chronic kidney disease are key factors linked to elevated CVD risk.
  • Findings underscore the need for targeted public health strategies in underserved rural communities.
Abstract

Keywords:
CardiovascularISH chartIndiarural

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