Blood pressure control among diabetic hypertensives under cardiology follow-up at a regional hospital in rural Malaysia

Mohd. Shah, Azarisman and Abdullah, Aszrin and Omar, Ahmad Marzuki and Nik Ahmad, Nik Nur Fatnoon and Abdullah, Hilmi and Hasmoni, Mohamed Hadzri and Ngow, Harris Abdullah and Shah, Anis and Rathor, Mohammad Yousuf and Ab Rahman, Jamalludin (2010) Blood pressure control among diabetic hypertensives under cardiology follow-up at a regional hospital in rural Malaysia. The Southeast Asian Journal of Tropical Medicine and Public Health, 41 (4). pp. 973-981. ISSN 0125-1562

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Abstract

Three hundred thirty-one consecutive patients presenting with hypertension to the outpatient medical clinic of Tengku Ampuan Afzan Hospital, Kuantan, Malaysia were screened and 150 patients with concurrent diabetes were enrolled into a cross-sectional study. The majority of patients were male (60.6%) with a mean age of 60.0 +/- 11.0 years. The mean systolic blood pressure (SBP) was 140.9 +/- 20.1 mmHg and the mean diastolic blood pressure (DBP) was 81.7 +/- 9.8 mmHg. Only 38.0% (57/150) of patients had blood pressures within recommended guidelines (130/80 mmHg). The mean blood pressure in this group was 123.7 +/- 8.5/76.4 +/- 5.6 mmHg. The majority of patients were on either 2 (41.3%) or 3 (31.3%) anti-hypertensives. Females had a significantly higher SBP 145.4 +/- 22.7 vs. 138.0 +/- 17.8 mmHg in males (p = 0.026). The level of blood pressure control in diabetics was unsatisfactory, especially in females and the elderly. A reassessment of priorities in the management of patients with concurrent hypertension and diabetes is therefore, urgently needed.

Item Type:	Article (Journal)
Additional Information:	3808/3657
Uncontrolled Keywords:	blood pressure, hypertension, diabetes, Malaysia
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Community Health & Family Medicine Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Jamalludin Ab Rahman
Date Deposited:	27 Sep 2011 16:08
Last Modified:	18 Nov 2016 09:32
URI:	http://irep.iium.edu.my/id/eprint/3657

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