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

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)

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Abstract

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.

Item Type:	Article (Journal)
Additional Information:	3808/3617
Uncontrolled Keywords:	hypertension, gender, disparity, control
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Community Health & Family Medicine
Depositing User:	Dr Jamalludin Ab Rahman
Date Deposited:	29 Nov 2011 16:22
Last Modified:	10 Mar 2016 10:33
URI:	http://irep.iium.edu.my/id/eprint/3617

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