Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference

Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference

The prevalence of hypertension in Malaysia is alarmingly high. The National Survey in 2006 showed 43% of people aged 30 had hypertension and among treated patients, only 26% reached the target blood pressure (BP) of <140/90 mm Hg. We evaluated BP control in tertiary institutions in Malaysia and t...

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Main Authors: Maskon, Oteh, Mohd Shah, Azarisman Shah, Syazril Adnan, Azreen, Ab Rahman, Jamalludin, Abdullah, Aszrin, Ting, Chih Kuan, Ismail, Shaiful Bahri
Format: Article
Language:English
Published: Nature Publishing Group 2010
Subjects:
R Medicine (General)
Online Access:http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/1/Hyp_Res_Accepted.pdf
id iium-3617
recordtype eprints
spelling iium-36172016-03-10T02:33:46Z http://irep.iium.edu.my/3617/ Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference Maskon, Oteh Mohd Shah, Azarisman Shah Syazril Adnan, Azreen Ab Rahman, Jamalludin Abdullah, Aszrin Ting, Chih Kuan Ismail, Shaiful Bahri R Medicine (General) The prevalence of hypertension in Malaysia is alarmingly high. The National Survey in 2006 showed 43% of people aged 30 had hypertension and among treated patients, only 26% reached the target blood pressure (BP) of <140/90 mm Hg. We evaluated BP control in tertiary institutions in Malaysia and the difference in hypertension control between genders and within specific cardiovascular risk factor groups. This cross-sectional study aimed at determining BP control among hypertensive patients attending three specialist institutions in Malaysia, located in Kuala Lumpur, Kuantan and Kota Bharu. A total of 950 patients with known hypertension for at least 6 months were recruited between January 2007 and July 2008. There were more males (n=548, 57.7%) with a mean age of 60.3±10.5 (±s.d.) years. The mean systolic BP (SBP) and diastolic BP were 138.8±20.3 mm Hg and 79.6±11.3 mm Hg, respectively. In total, 48.5% of all the patients had good BP control (<140/90 mm Hg). Males had better SBP control compared with female (SBP: 135.9±18.7 vs. 142.8±21.7 mm Hg, P<0.001). Overall, 54.6% of the patients had ischemic heart disease (IHD), 24.2% had undergone coronary revascularization, 50.1% were diabetic, 68.6% hyperlipidemic, 17.3% smokers and 27.5% had renal impairment. Males and small numbers of antihypertensives used were independently associated with better treatment outcome. In summary, our data reveal a poorer BP control, secondary to higher SBP levels in women. Moreover, the gender difference is more pronounced in patients with concomitant diabetes mellitus, renal impairment and IHD. Nature Publishing Group 2010-12-09 Article PeerReviewed application/pdf en http://irep.iium.edu.my/3617/1/Hyp_Res_Accepted.pdf Maskon, Oteh and Mohd Shah, Azarisman Shah and Syazril Adnan, Azreen and Ab Rahman, Jamalludin and Abdullah, Aszrin and Ting, Chih Kuan and Ismail, Shaiful Bahri (2010) Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference. Hypertension Research, 34 (3). pp. 319-324. ISSN 1348-4214 (O), 0916-9636 (P) http://www.nature.com/hr/journal/v34/n3/full/hr2010239a.html doi:10.1038/hr.2010.239
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Maskon, Oteh
Mohd Shah, Azarisman Shah
Syazril Adnan, Azreen
Ab Rahman, Jamalludin
Abdullah, Aszrin
Ting, Chih Kuan
Ismail, Shaiful Bahri
Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
description The prevalence of hypertension in Malaysia is alarmingly high. The National Survey in 2006 showed 43% of people aged 30 had hypertension and among treated patients, only 26% reached the target blood pressure (BP) of <140/90 mm Hg. We evaluated BP control in tertiary institutions in Malaysia and the difference in hypertension control between genders and within specific cardiovascular risk factor groups. This cross-sectional study aimed at determining BP control among hypertensive patients attending three specialist institutions in Malaysia, located in Kuala Lumpur, Kuantan and Kota Bharu. A total of 950 patients with known hypertension for at least 6 months were recruited between January 2007 and July 2008. There were more males (n=548, 57.7%) with a mean age of 60.3±10.5 (±s.d.) years. The mean systolic BP (SBP) and diastolic BP were 138.8±20.3 mm Hg and 79.6±11.3 mm Hg, respectively. In total, 48.5% of all the patients had good BP control (<140/90 mm Hg). Males had better SBP control compared with female (SBP: 135.9±18.7 vs. 142.8±21.7 mm Hg, P<0.001). Overall, 54.6% of the patients had ischemic heart disease (IHD), 24.2% had undergone coronary revascularization, 50.1% were diabetic, 68.6% hyperlipidemic, 17.3% smokers and 27.5% had renal impairment. Males and small numbers of antihypertensives used were independently associated with better treatment outcome. In summary, our data reveal a poorer BP control, secondary to higher SBP levels in women. Moreover, the gender difference is more pronounced in patients with concomitant diabetes mellitus, renal impairment and IHD.
format Article
author Maskon, Oteh
Mohd Shah, Azarisman Shah
Syazril Adnan, Azreen
Ab Rahman, Jamalludin
Abdullah, Aszrin
Ting, Chih Kuan
Ismail, Shaiful Bahri
author_facet Maskon, Oteh
Mohd Shah, Azarisman Shah
Syazril Adnan, Azreen
Ab Rahman, Jamalludin
Abdullah, Aszrin
Ting, Chih Kuan
Ismail, Shaiful Bahri
author_sort Maskon, Oteh
title Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
title_short Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
title_full Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
title_fullStr Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
title_full_unstemmed Institutional hypertension control in Malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
title_sort institutional hypertension control in malaysia: a multicenter study focusing on gender and cardiovascular risk factor profile difference
publisher Nature Publishing Group
publishDate 2010
url http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/
http://irep.iium.edu.my/3617/1/Hyp_Res_Accepted.pdf
first_indexed 2023-09-18T20:11:30Z
last_indexed 2023-09-18T20:11:30Z
_version_ 1777407508471611392

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