calculated-10-years-risk-of-chd-primary-preventive-measures-in-medical-ward-ppukm-university-kebangsaan-malaysia-medical-centre

Abstract

Coronary heart disease (CHD) is the leading cause of morbidity and mortality globally. Identification of common risk factors and risk stratification helps to prioritize primary preventive measures and hence can reduce this epidemic. This retrospective cross sectional study was carried out to assess the primary preventive measures according to 10 years CHD risk stratification. One hundred thirty (67 female and 63 female) middle aged (40-65 years) patients admitted to PPUKM's medical ward with no prior diagnosis of CHD were selected. Patient diagnosed with diabetes or hypertension related to pregnancy was excluded. The patients' medical record and order management system (OMS) were screened to obtain relevant demographic information, medical and medication history and related laboratory results. The Joint British Societies CHD risk prediction chart was used to calculate the 10 years CHD risk. Gender specific differences of 10 years calculated CHD risk, baseline measure of BP, cholesterol, weight, BMI, HbA1C level and number of patients who received primary preventive measures were used as outcome measures. Results showed that male patients had a significantly higher 10 years CHD risk than female (P < 0.05). Hypertension was the most prevalent risk factor followed by diabetes and dyslipidemia. About10% (n=6) of hypertensive patients with SBP≥160 mmHg and 32 (37%) diabetic patients did not receive antihypertensive therapy and lipid lowering therapy respectively. Hence, there is a need for further improvement in primary preventive measures for CHD.