Institutional hypertension control in Malaysia

A multicenter study focusing on gender and cardiovascular risk factor profile difference

Oteh Maskon, Shah Mohd Shah Azarisman, Syazril Adnan Azreen, Ab Rahman Jamaluddin, Abdullah Aszrin, Chih Kuan Ting, Ismail Shaiful Bahri

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The prevalence of hypertension in Malaysia is alarmingly high. The National Survey in 2006 showed 43% of people aged 30 had hypertension and among treated patients, only 26% reached the target blood pressure (BP) of <140/90 mm Hg. We evaluated BP control in tertiary institutions in Malaysia and the difference in hypertension control between genders and within specific cardiovascular risk factor groups. This cross-sectional study aimed at determining BP control among hypertensive patients attending three specialist institutions in Malaysia, located in Kuala Lumpur, Kuantan and Kota Bharu. A total of 950 patients with known hypertension for at least 6 months were recruited between January 2007 and July 2008. There were more males (n=548, 57.7%) with a mean age of 60.3±10.5 (±s.d.) years. The mean systolic BP (SBP) and diastolic BP were 138.8±20.3 mm Hg and 79.6±11.3 mm Hg, respectively. In total, 48.5% of all the patients had good BP control (<140/90 mm Hg). Males had better SBP control compared with female (SBP: 135.9±18.7 vs. 142.8±21.7 mm Hg, P<0.001). Overall, 54.6% of the patients had ischemic heart disease (IHD), 24.2% had undergone coronary revascularization, 50.1% were diabetic, 68.6% hyperlipidemic, 17.3% smokers and 27.5% had renal impairment. Males and small numbers of antihypertensives used were independently associated with better treatment outcome. In summary, our data reveal a poorer BP control, secondary to higher SBP levels in women. Moreover, the gender difference is more pronounced in patients with concomitant diabetes mellitus, renal impairment and IHD.

Original languageEnglish
Pages (from-to)319-324
Number of pages6
JournalHypertension Research
Volume34
Issue number3
DOIs
Publication statusPublished - Mar 2011

Fingerprint

Malaysia
Multicenter Studies
Blood Pressure
Hypertension
Myocardial Ischemia
Kidney
Antihypertensive Agents
Diabetes Mellitus
Cross-Sectional Studies

Keywords

  • control
  • gender
  • prevalence

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Institutional hypertension control in Malaysia : A multicenter study focusing on gender and cardiovascular risk factor profile difference. / Maskon, Oteh; Azarisman, Shah Mohd Shah; Azreen, Syazril Adnan; Jamaluddin, Ab Rahman; Aszrin, Abdullah; Ting, Chih Kuan; Shaiful Bahri, Ismail.

In: Hypertension Research, Vol. 34, No. 3, 03.2011, p. 319-324.

Research output: Contribution to journalArticle

Maskon, Oteh ; Azarisman, Shah Mohd Shah ; Azreen, Syazril Adnan ; Jamaluddin, Ab Rahman ; Aszrin, Abdullah ; Ting, Chih Kuan ; Shaiful Bahri, Ismail. / Institutional hypertension control in Malaysia : A multicenter study focusing on gender and cardiovascular risk factor profile difference. In: Hypertension Research. 2011 ; Vol. 34, No. 3. pp. 319-324.
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