Assessment of ten-year risk of cardiovascular event using WHO/ISH risk prediction chart among adults in a tertiary care hospital in Puducherry, India

Mohamed SM, Anandaraj R, Sivasubramanian V

Pdf Page Numbers :- 96-100

Moosa Mohamed S¹, Rajagopal Anandaraj^2,*, and Vithiavathi Sivasubramanian³

¹Aarupadai Veedu Medical College & Hospital, Puducherry, India

²Department of Community Medicine, Indira Gandhi Medical College & Research Institute, Puducherry, India

³Department of General Medicine, Aarupadai Veedu Medical College & Hospital, Puducherry, India

*Corresponding author: Anandaraj R, Assistant Professor, Department of Community Medicine, Indira Gandhi Medical College and Research Institute, Kadirkamam, Puducherry – 605009, India. Tel.: +91 9003739414; Email: anand2469@gmail.com

Received 7 January 2021; Revised 17 February 2021; Accepted 24 February 2021; Published 3 March 2021

Citation: Mohamed SM, Anandaraj R, Sivasubramanian V. Assessment of ten-year risk of cardiovascular event using WHO/ISH risk prediction chart among adults in a tertiary care hospital in Puducherry, India. J Med Sci Res. 2021; 9(2):96-100. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-15

Copyright: © 2021 Mohamed SM et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Context: The changing trends have revealed that cardiovascular disease (CVD) has evolved as prime cause of mortality globally, and predicting this prior is of utmost interest in patient management.

Objective: To assess the ten-year risk of fatal or non-fatal cardiovascular event using World Health Organization/ International Society of Hypertension (WHO/ISH) risk prediction chart among adults.

Material and methods: A cross sectional study was conducted among 226 general medicine Outpatient Department (OPD) attendees of a tertiary care hospital. Their risk of encountering a major cardiovascular event such as myocardial infarction or stroke ten year later was assessed using the WHO/ISH risk prediction charts. Appropriate tests of significance were employed.

Results: Among 226 study subjects, 174 (76.9%) at low risk, 36 (15.9%) at moderate risk and 16 (7.0%) were at high risk of developing major cardiovascular event in the next ten years. Risk factors such age above 50 years, male gender, presence of hypertension or diabetes and smoking were found to be significantly associated with increased risk of the predicted major cardiovascular event.

Conclusions: WHO/ISH chart is a useful tool in identifying individuals at high-risk of cardiovascular disease (CVD) and could help in planning appropriate strategies to mitigate the estimated CVD burden in future.

Keywords: cardiovascular diseases; risk prediction charts; WHO/ISH