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Abstract

Cardiovascular risk: associated factors, assessment and agreement between WHO/ISH risk prediction chart and Framingham Scoring System among Primary Care Patients in Kelantan, Malaysia

Background: Cardiovascular Disease (CVD) burden in Malaysia has strikingly increased and it is critically important to overcome the problem at primary care level. There is also very few studies in Malaysia that described the population 10-year CVD risk.

Objectives: To identify the associated factors of high 10-year cardiovascular disease risk based on WHO/ISH risk prediction chart and its agreement with Framingham Scoring System.

Methods: A cross-sectional study was conducted between between December 2012 till Mac 2013 among patients attending Outpatient Clinic, USM Hospital, Kelantan. Cardiovascular risk assessments were based on WHO/ISH risk prediction chart and Framingham Coronary Disease Risk Prediction Score.

Results: A total of 196 patients responded. The proportion of high 10-year cardiovascular disease risk (≥ 20%) based on WHO/ISH risk prediction chart was 7.7%. Secondary school educational level and income more than RM 2000 were significantly associated with high 10- year cardiovascular disease risk. The agreement between WHO/ISH risk prediction chart and Framingham Scoring System was 0.11 (P value 0.001).

Conclusion: Socio-economic status should be considered in primary prevention of cardiovascular disease. The agreement in 10-year cardiovascular disease risk between WHO/ISH risk prediction chart and Framingham Scoring System was marginally convincing.


Author(s): MN Norhayati , SAH Sharifah Amirah , Y Lili Husniati

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