ASSESSMENT OF CARDIOVASCULAR RISK EVENT USING WHO/ISH RISK PREDICTION CHARTS AMONG OUTPATIENTS ATTENDING PRIMARY CARE FACILITY IN TAMIL NADU

Abstract


INTRODUCTION : The 2030 Agenda for Sustainable Development recognizes NCDs as a major challenge for sustainable development. Non-communicable diseases (NCDs), also known as chronic diseases, tend to be of long duration and are the result of a combination of genetic, physiological, environmental and behavioral factors. The non-communicable diseases commonly include cardiovascular disease (CVD), various types of cancers, chronic respiratory illnesses, diabetes, and so on which are estimated to account for around 60% of all deaths.
OBJECTIVE : To assess the ten year risk cardiovascular events using WHO/ISH charts among outpatients in primary care facility.
METHODOLOGY : A cross sectional study was conducted among 1260 Outpatient Department (OPD) attendees of four Primary health centers to estimate risk of encountering a major cardiovascular event such as myocardial infarction or stroke ten year later assessed using the WHO/ISH risk prediction charts.
RESULTS : Cardiovascular risk factors like smoking and abdominal obesity was found to be 5% and 60%,lipid parameters like total cholesterol ,low and High-Density Lipoprotein values were found to be 5%, 28 % and 30% respectively . Among the study population, patients already diagnosed with diabetics was 246 (19.6) and based on JNC 8 classification 219(28%) had stage 1 and 65(8%) had stage 2 hypertension. Out of 1260 study participants 76% had lower risk and 24% had moderate risk for the occurrence of cardiovascular events by using WHO/ISH risk prediction charts in the next ten years.
CONCLUSION : WHO-ISH risk predication chart can be used as a tool to predict cardiovascular diseases risk in a low-cost resources settings among asymptomatic individuals.

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