Predicting 10-year Cardiovascular Risk Using WHO/ISH Risk Prediction Chart among Rural Population in Haryana, India
Keywords:Cardiovascular diseases, WHO/ISH chart, Risk prediction
Background: CVD are leading cause of premature Deaths worldwide. Coronary vascular disease (CVD)
risk estimation tools are a simple means of early identifying those at high risk in a community. It seems to be
a cost-effective strategy for CVD prevention in developing countries. The WHO /ISH risk prediction charts
estimates risk of people having CVD’s for next ten years, who do not develop coronary heart disease or
stroke. Methods: A total of 100 subjects between 40 to 70 years of age were included in this cross sectional
study. Total 100 families were visited and subjects were selected randomly. CVD risk was calculated by
asking information from the subjects regarding Age, gender, smoking status, measuring their blood pressure,
history of diabetes. The chart classifies an individual into different risk of having CVD’S that categorized
into low (<10%), moderate (10% to <20%), high (20% to <30%), and very high (>30%) risk groups. Results:
Less than two-third (62%) of population has less than 10% CVD risk, followed by less than one-third (31%)
of the population had CVD risk of between 10- to <20% for the next 10 years. Only 6 subjects had 20-<30%
of risk followed by 1% CVD risk between 30-<40%.Age, More SBP, Abdominal obesity, smoking, diabetes
mellitus and More BMI (p<0.0001) were significantly associated with higher CVD risk. Conclusions:
WHO/ISH Chart should be used by peripheral health workers for early identification of people with a high
risk for CVD and provide timely services in reducing the complications and premature deaths related to
CVD in India.
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