Institutional hypertension control in rural Malaysia: A single center study
Objectives: Hypertension is one of the most important risk factors for Cardiovascular Disease in Malaysia. Population-based hypertension control is extremely poor at only 6% based on the 1996 National Health and Morbidity Survey. It is important to gauge the level of hypertension control in insti...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2008
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| Online Access: | http://irep.iium.edu.my/5246/ http://irep.iium.edu.my/5246/ http://irep.iium.edu.my/5246/1/J_Hypertens_Abstracts%5B1%5D.pdf |
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iium-5246 |
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eprints |
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iium-52462016-03-10T04:04:45Z http://irep.iium.edu.my/5246/ Institutional hypertension control in rural Malaysia: A single center study Mohd Shah, Azarisman Shah Ngow, Harris Abdullah O, Marzuki A.M., Puteri Melor Ab Rahman, Jamalludin Mohamed, Sahimi Satwi, Sapari S, Noorfaizan Maskon, Oteh RC Internal medicine Objectives: Hypertension is one of the most important risk factors for Cardiovascular Disease in Malaysia. Population-based hypertension control is extremely poor at only 6% based on the 1996 National Health and Morbidity Survey. It is important to gauge the level of hypertension control in institutional follow-up as it has important ramifications on the delivery of service amongst healthcare professionals in Malaysia. Methods: Three hundred and thirty one consecutive patients presenting with hypertension to the Medical Outpatients clinic of Hospital Tengku Ampuan Afzan, Kuantan, Malaysia were enrolled into a prospective observational study. Blood pressure readings were taken with manual sphygmomanometers. A review of the medications and co-morbidities was then undertaken. Results: The majority of patients were male 64.65%, with a mean age of 60.1±11.0 years. The mean systolic blood pressure (SBP) was 139.3±21.0 mmHg and the diastolic blood pressure (DBP) was 81.6±10.4 mmHg. 64.9% of patients had blood pressures (BP) within the 140/90 mmHg target. The mean blood pressure in this group was 127.1±11.5/77.8±7.7 mmHg. The majority of patients were on either 2 (46.5%) or 3 (25.9%) anti-hypertensives. Females had a significantly higher SBP 144.0±22.5 vs 136.8±19.7 mmHg (p=0.004, Independent t test). SBP was also found to be mildly correlated with gender (r = 0.16, p = 0.003), age (r = 0.11, p = 0.04) and hyperlipidaemia (r = 0.10, p = 0.05). Conclusion: The level of hypertension control is certainly equivalent if not better than western centers. It proves that the level hypertension control in tertiary institutions is far superior to that of population-based centers. This could be attributed to the availability of both a highly trained staff, greater surveillance and better medications. Wolters Kluwer 2008 Article PeerReviewed application/pdf en http://irep.iium.edu.my/5246/1/J_Hypertens_Abstracts%5B1%5D.pdf Mohd Shah, Azarisman Shah and Ngow, Harris Abdullah and O, Marzuki and A.M., Puteri Melor and Ab Rahman, Jamalludin and Mohamed, Sahimi and Satwi, Sapari and S, Noorfaizan and Maskon, Oteh (2008) Institutional hypertension control in rural Malaysia: A single center study. Journal of Hypertension, 26 (Supp.1). S249-S250. ISSN 0263-6352 http://journals.lww.com/jhypertension/pages/default.aspx |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
| building |
IIUM Repository |
| collection |
Online Access |
| language |
English |
| topic |
RC Internal medicine |
| spellingShingle |
RC Internal medicine Mohd Shah, Azarisman Shah Ngow, Harris Abdullah O, Marzuki A.M., Puteri Melor Ab Rahman, Jamalludin Mohamed, Sahimi Satwi, Sapari S, Noorfaizan Maskon, Oteh Institutional hypertension control in rural Malaysia: A single center study |
| description |
Objectives: Hypertension is one of the most important risk factors for Cardiovascular
Disease in Malaysia. Population-based hypertension control is
extremely poor at only 6% based on the 1996 National Health and Morbidity
Survey. It is important to gauge the level of hypertension control in institutional
follow-up as it has important ramifications on the delivery of service
amongst healthcare professionals in Malaysia. Methods: Three hundred and
thirty one consecutive patients presenting with hypertension to the Medical
Outpatients clinic of Hospital Tengku Ampuan Afzan, Kuantan, Malaysia
were enrolled into a prospective observational study. Blood pressure readings
were taken with manual sphygmomanometers. A review of the medications
and co-morbidities was then undertaken. Results: The majority of patients
were male 64.65%, with a mean age of 60.1±11.0 years. The mean systolic
blood pressure (SBP) was 139.3±21.0 mmHg and the diastolic blood pressure
(DBP) was 81.6±10.4 mmHg. 64.9% of patients had blood pressures (BP)
within the 140/90 mmHg target. The mean blood pressure in this group
was 127.1±11.5/77.8±7.7 mmHg. The majority of patients were on either 2
(46.5%) or 3 (25.9%) anti-hypertensives. Females had a significantly higher
SBP 144.0±22.5 vs 136.8±19.7 mmHg (p=0.004, Independent t test). SBP
was also found to be mildly correlated with gender (r = 0.16, p = 0.003), age
(r = 0.11, p = 0.04) and hyperlipidaemia (r = 0.10, p = 0.05). Conclusion: The
level of hypertension control is certainly equivalent if not better than western
centers. It proves that the level hypertension control in tertiary institutions is
far superior to that of population-based centers. This could be attributed to
the availability of both a highly trained staff, greater surveillance and better
medications. |
| format |
Article |
| author |
Mohd Shah, Azarisman Shah Ngow, Harris Abdullah O, Marzuki A.M., Puteri Melor Ab Rahman, Jamalludin Mohamed, Sahimi Satwi, Sapari S, Noorfaizan Maskon, Oteh |
| author_facet |
Mohd Shah, Azarisman Shah Ngow, Harris Abdullah O, Marzuki A.M., Puteri Melor Ab Rahman, Jamalludin Mohamed, Sahimi Satwi, Sapari S, Noorfaizan Maskon, Oteh |
| author_sort |
Mohd Shah, Azarisman Shah |
| title |
Institutional hypertension control in rural Malaysia: A single center study |
| title_short |
Institutional hypertension control in rural Malaysia: A single center study |
| title_full |
Institutional hypertension control in rural Malaysia: A single center study |
| title_fullStr |
Institutional hypertension control in rural Malaysia: A single center study |
| title_full_unstemmed |
Institutional hypertension control in rural Malaysia: A single center study |
| title_sort |
institutional hypertension control in rural malaysia: a single center study |
| publisher |
Wolters Kluwer |
| publishDate |
2008 |
| url |
http://irep.iium.edu.my/5246/ http://irep.iium.edu.my/5246/ http://irep.iium.edu.my/5246/1/J_Hypertens_Abstracts%5B1%5D.pdf |
| first_indexed |
2023-09-18T20:13:44Z |
| last_indexed |
2023-09-18T20:13:44Z |
| _version_ |
1777407649171636224 |