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Assessment of 10-Year Risk of Developing a Major Cardiovascular Event in Type-2 Diabetes Patients Attending a Hospital in Davangere, Karnataka

Author:Radha Valaulikar, Balu PS, Rohit A Bhat

Keywords:Cardiovascular disease, diabetes, WHO-ISH charts

Type:Original Article

Abstract:"Background: Diabetes increases the risk of cardiovascular disease (CVD). The aim of this study was to assess the 10-year risk of fatal or non-fatal major cardiovascular events (myocardial infarction or stroke) in type-2 diabetes mellitus patients attending a tertiary care centre in Davangere-Karnataka. Methods: A cross?sectional study was conducted among diabetics coming to OPD of a tertiary level hospital in Davangere between September 2015-February 2016. 10?year risk of developing a major (fatal or non-fatal) cardiovascular event was assessed using WHO?ISH risk prediction charts. Results: Of the 311 subjects, 181 (58.2%) were females. 139 (44.69%) had low risk ie.< 10%. 93 (29.9%) and 41 (13.81%) had 10-<20% and 20-< 30 % risks respectively. 16 (5.14%) subjects had 30-<40% risk while 22 (7.07%) had ?40 % risk. Age more than 60 years, smoking and hypertension were significantly associated with a 10-year cardiovascular risk of ?20%. Those with prehypertension were at significantly higher risk than those with stage II hypertension. Conclusion: WHO-ISH charts can help in identifying diabetics at high-risk of CVD and could serve as a tool in planning suitable strategies for the estimated CVD burden in the hospital in near future."