Frequency of ischaemic heart disease and stroke in hypertension.
OBJECTIVE
To assess the frequency of ischaemic heart disease and cerebrovascular accident in hypertensive patients.


METHODS
A cross sectional study was conducted from June 2007 to December 2007 at Shahina Jamil Teaching Hospital Abbottabad. The study included 200 patients with hypertension who attended the medical outpatient's clinic at Shahina Jamil Teaching Hospital of Frontier Medical College Abbottabad. Hypertensive patients of either sex who were of more than 15 years of age were included in the study. All the included patients were investigated for ischaemic heart disease and cerebrovascular accident (CVA) and the frequency of these disorders was estimated.


RESULTS
Of 200 hypertensive patients, 136 were female and 64 were male with mean age (female = 53.1 +/- 13.5 years and male = 60.1 +/-11.9 years), mean systolic blood pressure (female = 162.0 +/- 27.2 mmHg and male = 160.9 +/- 28.7 mmHg), mean diastolic blood pressure (female = 99.5 +/- 12.9 mmHg and male = 101.6 +/- 15.3 mmHg), mean BMI (female = 28.9 +/- 05.1 and male = 25.8 +/- 03.8), mean total serum cholesterol level (female = 192.3 +/- 15.1 mg/dL and male = 191.0 +/- 17.1 mg/dL), and mean serum triglyceride level (female = 168.7 +/- 15.3 mg/dL and male = 169.2 +/- 20.9 mg/dL). Ischaemic heart disease was present in 44% of hypertensive patients, CVA in 13% with 9% having ischaemic CVA and 4% haemorrhagic CVA. Frequency of IHD and cerebrovascular accident was higher in male hypertensives compared to females.


CONCLUSIONS
Ischaemic heart disease and cerebrovascular accident are more prevalent in male hypertensives as compared to female hypertensive patients, and frequency of both disorders can be decreased by controlling systemic hypertension.
Ahmed
Nazir
N
Department of Medicine, Frontier Medical College, Abbottabad.
D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000453:epidemiology / Q000209:etiology*; D010154:Pakistan / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D020521:Stroke / Q000453:epidemiology / Q000209:etiology*