Preventing coronary heart disease risk of slum dwelling residents in India

Dhar, Lipi

doi:10.4103/2249-4863.130278

Cited by 7 publications

(6 citation statements)

References 33 publications

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“…19 There are several risk factors commonly present in hypertensive patients, but they often remain asymptomatic. 20 In accordance with this, it was observed in our survey that majority of physicians tend to calculate CV risk in only 30%-50% of their hypertensive patients without comorbidities. This highlights the fact that a vast majority of the patient population may remain undetected of their CV risk, which adds to the burden of CV mortality, and hence timely assessment is crucial for hypertension and CV risk reduction.…”

Section: Discussionsupporting

confidence: 82%

Hypertension and beyond in Indian clinical practice study: a nationwide survey assessing knowledge, attitude and practices of physicians

Jadhav¹,

Purohit²

2021

Int J Adv Med

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Background: Hypertension is the leading cause for the ever-increasing burden of mortality due to stroke and cardiovascular diseases (CVD). Treatments are complicated due to comorbidities and can lead to patient noncompliance. Patients with low existing cardiovascular risk are prone to have higher lifetime cardiovascular risk, which timely assessment necessary.Methods: A digital cross-sectional survey questionnaire about knowledge, attitude and practice habits regarding cardiovascular risk assessment was administered to 400 physicians and cardiologists across India. The questionnaire assessed various topics such as practice of hypertension diagnosis and treatment based on guidelines, cardiovascular risk calculators, occurrence of comorbidities and patient awareness on cardiovascular risk prevention.Results: Out of the 400 physicians, 398 completed the survey. About 52% physicians considered presence of multiple risk factors as vital for having cardiovascular risk. American college of cardiology/American heart association (ACC/AHA) calculator was preferred by 51.6% study participants. Cardiovascular risk estimation was vital for treatment-related decision-making according to 71% participants, while only 7.7% participants calculated cardiovascular risk in >90% of their patients. Approximately 44% survey participants calculated cardiovascular risk in hypertensive patients with 2 additional risk factors, while 5.6% calculated it in >70% hypertensive patients without comorbidities. About 46.6% participants reported that 30%-50% of their patients were on fixed-dose combinations of two antihypertensive medications.Conclusions: Findings from the study indicate predisposition of medical professionals towards having a risk assessment tool designed for the Indian population to timely assess and forestall long-term effects of cardiovascular risk in hypertensive patients.

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Section: Discussionsupporting

confidence: 82%

Hypertension and beyond in Indian clinical practice study: a nationwide survey assessing knowledge, attitude and practices of physicians

Jadhav¹,

Purohit²

2021

Int J Adv Med

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“…In the research done by Dhar L this has been found to be true. 27 Work done by Kunungo et al has shown that there is a statistically significant association between early deaths due to coronary heart disease and uncontrolled hypertension. 28 Even though a strong association has been found by various authors regarding uncontrolled hypertension and risk factors like level of education, regularity of treatment, frequency of check-up, salt intake, Body Mass Index and waist to hip ratio, we failed to discover a statistically significant relationship by our study.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated With Uncontrolled Hypertension Among Treated Adults Residing in an Urban Area of Kerala- A Cross Sectional Study

Saradamma¹,

Kottarath²,

Saleem³

et al. 2019

jebmh

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BACKGROUNDNon communicable disease control involves not only intake of medications, but also a substantial change in the life style of the patient. This is absolutely true regarding hypertension. In this study, we attempted to find out the proportion of patients with uncontrolled hypertension in spite of taking treatment, among adults residing in Kollam municipal corporation area. An exploration into the risk factors which are associated with non-control of hypertension even though they have been diagnosed as hypertensives and were under treatment was also done. The findings may throw light over the deficiencies in the modalities undertaken to treat hypertension as it is done presently. The objectives of the study were-1) to determine the proportion of uncontrolled hypertensives among treated adults residing in an urban area of Kerala. 2) to identify the risk factors associated with uncontrolled hypertension in the above population. MATERIALS AND METHODSA cross sectional study was conducted during the months of February & March of 2017. The study area included 5 wards in the Kollam Municipal Corporation area. The study subjects included 300 individuals above 18 years of age, residing in the study area. RESULTSThe prevalence of hypertension was found to be 40% in the study area. 27% were identified as pre-hypertensives. Of the previously diagnosed hypertensives undergoing treatment, 68.3% were found to have uncontrolled hypertension. Higher age (p<0.05), sedentary lifestyle (p<0.05), regular intake of alcohol (p<0.05), stress (p<0.001), dyslipidaemia (p<0.001), diabetes mellitus (p<0.05), family history of hypertension(p<0.01) and family history of first degree relative dying before the age of 40 years following Coronary Artery Disease were found to be significantly associated with uncontrolled hypertension. CONCLUSIONThe prevalence of uncontrolled hypertension is high even among patients on treatment (68.3%). Programmes focusing on ensuring compliance of hypertensives on treatment regarding life style modification should receive equal importance as drug compliance.

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“…27 Cardiovascular diseases could be attributed to the higher presence of CVD related risk factors such as uncontrolled hypertension and tobacco use which is common among urban slum dwellers. 28 The high prevalence of respiratory and gastrointestinal disorders could be attributed to poor living conditions, water, overcrowding, smoking and exposure to household smoke. 29 The high prevalence of CVD in Mumbai and gastrointestinal diseases in Pune could be as a result of local factors like increased air pollution, smoking and alcohol consumption, unavailability of clean drinking water and inadequate sanitation.…”

Section: Discussionmentioning

confidence: 99%

What ails the urban slums - morbidity profile of urban slum dwellers from three major cities of India

Giri¹,

Wassey²,

Dogra³

2020

Int J Community Med Public Health

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Background: India today has over 61 million people residing in urban slums. Slums, on one hand, lack the basic requirements of housing, sanitation, and water supply that are detrimental for good health and on the other hand subject its residents to extreme poverty, unemployment and stress. Exposure to these environmental factors is expected to cause a distinct sort of morbidity pattern, which this study seeks to explore.Methods: This cross-sectional study was a secondary data analysis of aggregated data of patients who availed health services at the mobile medical unit (MMU) of the Ujjivan program run by Piramal Swasthya in the last one year. The project has a fleet of MMUs that makes at least one predestined monthly visit to each service point in urban slums of Bangalore (42 sites), Pune (18 sites) and Mumbai (19 sites).Results: Musculoskeletal disorders (30.69%) and cardiovascular diseases (25.56%) together accounted for 56.25% of the total disease burden. The analysis of blood pressure readings of all the registrations showed that the mean systolic and diastolic pressures were 129.71 and 84.92 mmHg respectively. 51.58% of all individuals had hypertension and 23.51 % had diabetes.Conclusions: According to the study a major proportion of urban populous seeking healthcare at the MMU are women and elderly and do so for non-communicable diseases. Hypertension and diabetes are major health threats among them. MMU could be used as an effective mode of service delivery for women and the elderly especially, for chronic diseases.

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Preventing coronary heart disease risk of slum dwelling residents in India

Cited by 7 publications

References 33 publications

Hypertension and beyond in Indian clinical practice study: a nationwide survey assessing knowledge, attitude and practices of physicians

Hypertension and beyond in Indian clinical practice study: a nationwide survey assessing knowledge, attitude and practices of physicians

Risk Factors Associated With Uncontrolled Hypertension Among Treated Adults Residing in an Urban Area of Kerala- A Cross Sectional Study

What ails the urban slums - morbidity profile of urban slum dwellers from three major cities of India

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