Author + information
- Li Xiaoling,
- Huawei Tian,
- Changgui Yang,
- Guifu Wu and
- Nan Jia
To understand the status of hypertensive patients, the status of the cardiovascular disease (CVD) related risk factors, and the evaluate risk of ischemic cardiovascular diseases (ICVD) in the next decade among the community hypertensive patients in Shenzhen, and to provide a scientific basis for strategy-making on health management of hypertensive patients and reduce cardiovascular events in hypertensive patients incidence and death.
A total of 5195 hypertensive patients aged 35 to 59 were surveyed by multi-stage cluster random sampling in Futian District, Shenzhen City. Epidemiological surveyed on prevalence of hypertension and risk factors of cardiovascular diseases. And the use of “National 10-year Risk Assessment for ICVD” to predict the risk of ICVD in the hypertensive patients.
(1) 5195 subjects aged 35 to 59 were included in the survey from July in 2013 to February in 2014. The blood pressure controled compliance rate was 41.79%. (2) 38.3% were overweight or obesity, 21.2% smoke, the prevalence rate of diabetes, dyslipdemia was 14.6%, 61.52%, 9.3% were high cholesterol. 40.7% of hypertensive patients took up two or more risk factors, the proportion of the male patients covering two risk factors was bigger than that of the female patients(P＜0.001), and the elder the patients are, the higher risk on CVD. (3) 18.8% of the hypertensive patients' ICVD risk in 10 years was high than 5%, and 2.1% of the patients' ICVD risk in 10 years was high than 10%. There were significant differences in the incidence of ICVD in different age groups(P＜0.001) and different gender groups(P＜0.001), besides the elder the patients are, the higher risk on ICVD(P＜0.001). No matter males or females, the risk level of ICVD was high than the reference indicator of ICVD risk in different age groups(P＜0.001). (4) Hypertension 1, 2, 3 class prevalence were 52.4%,5.4%, 0.5%. The risk level of ICVD were different in the different grades of hypertension(P < 0.05), and the higher the grade of hypertension, the higher risk in ICVD(P < 0.001).
The hypertension control rate in community in Shenzhen was poor, the levels of cardiovascular disease of risk factors was high and the risk level of ICVD was higher in the group aged 35 to 59. The findings suggested that we should enhance the intervention on CVD risk factors such as obesity, dyslipdemia and so on in the health management of hypertensive patients in conmunity.