A4377 Prevalence of hypertension and risk assessment of cardiovascular disease in 22 community 35∼59 aged hypertensive patients in Shenzhen Futian District

Abstract

Objectives: To understand the risk factors of ischemic cardiovascular disease (CVD) in hypertensive patients in Shenzhen, Futian District, and the evaluate risk of ischemic cardiovascular diseases (ICVD) in the next decade among the community hypertensive patients. Methods: A total of 5195 hypertensive patients aged 35 to 59 were surveyed by multi-stage stratified cluster 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. Results: (1)5195 subjects aged 35 to 59 were included in the survey from July in 2013 to February in 2014. The blood pressure controled in 2172 cases (41.8%). And 2115 cases had covered more than two risk factors (40.7%). The ICVD risk distribution of the hypertensive patients in 10 years was: extremely low-risk (5%) accounted for 81.2%, low-risk (5%∼9.9%) accounted for 16.7%, the middle risk group (10%∼19.9%) accounted for 1.6%, high-risk (20%∼39.9%) accounted for 0.5%. There were significant differences in the incidence of ICVD in different age groups (P < 0.001), besides the elder the patients are, the higher risk on ICVD (P < 0.001). The higher the grade of hypertension, the higher risk in 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). Conclusion: 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.