Cardiovascular risk in patients with coexisting Diabetes mellitus and Hypertension in Bang Chalong Health Promotion Hospital, Bang Phli District, Samutprakan Province

Authors

  • Nopphanath Chumpathat Faculty of Nursing, Huachiew Chalermprakiet University
  • Siriporn Chunchai Nursing Department, Rajavithi Hospital
  • Sivaporn Wannaiampikul Department of Biochemistry, Faculty of Medicine, Srinakharinwirot University
  • Prisana Akaratanapol Faculty of Nursing, Huachiew Chalermprakiet University
  • Siriwan Turongruang Faculty of Nursing, Huachiew Chalermprakiet University
  • Rachada Phuangprasonka Faculty of Nursing, Huachiew Chalermprakiet University
  • Brian Lee Department of Medicine, Faculty of Medicine, Srinakharinwirot University

Keywords:

Cardiovascular risk, coexisting diabetes mellitus and hypertension, Thai CV risk score

Abstract

Abstract
Diabetes mellitus and hypertension frequently occur together, which greatly increases the risk of cardiovascular disease. Diabetic patients with hypertension often have dyslipidemia and a waist circumference exceeding the norm. These abnormalities are components of a metabolic syndrome. The objectives of this study were to explore cardiovascular risk levels and associated factors in patients with concurrent Diabetes mellitus and hypertension without prior cardiovascular disease. The collected data from subjects who attended their annual health check-up at Bang Chalong Subdistrict Health Promotion Hospital, Bang Phli District in Samutprakarn Province. The cardiovascular risk level was determined by the Thai CV Risk Score. The results found that there were 190 eligible patients, 127 patients were females (66.8%), and 65.8% of all patients were aged 60 years old or over. The male patients who smoked had low levels of high-density lipoprotein cholesterol at a significantly higher proportion than female patients. Furthermore, 39.4% of patients with coexisting Diabetes mellitus and hypertension had a cardiovascular risk level > 20% or higher, and 79.5% had a metabolic syndrome. In addition, men were found to have a higher level of cardiovascular risk than women (OR=2.23, 95%CI=1.2-4.1, p=0.016), and patients aged 60 years old or over had a higher level of cardiovascular risk than those under 60 years old (OR=12.12, 95%CI=4.9-30.1, p<0.001). In conclusion, this study found more than one third of patients with concurrent diabetes mellitus and hypertension had higher cardiovascular risk levels. In particular, cardiovascular risk was significantly increased among elderly men.

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Published

2022-04-29

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Section

Original Article (บทความวิจัย)