%0 Journal Article
%T Risk of Cardiovascular Disease among Diabetic Patients in Manipur, Northeast India
%A Mary Grace Tungdim
%A T. Ginzaniang
%A G. Poufullung Kabui
%A Deepali Verma
%A Satwanti Kapoor
%J Journal of Anthropology
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/421439
%X Atherosclerotic cardiovascular disease is the major cause of premature mortality in patients with type 2 diabetes. The present study was conducted to assess cardiovascular risk among diabetic patients of Northeast India. The present cross-sectional study included 81 diabetic patients (39 males and 42 females) aged 36¨C74 years from the district Imphal of Manipur, Northeast India. Sex-specific Framingham general cardiovascular risk prediction equations were used to calculate the 10-year risk for cardiovascular disease. The probable risk factors were determined by cross-tabulation of cardiometabolic parameters with the 10-year cardiovascular risk level. Males were found to be at higher risk of developing CVD in the future as compared to females with a discernible accumulation of adverse cardiovascular risk factors among them. 38.3% patients were at high risk, 37.0% at moderate risk and 24.7% at low risk for developing CVD in the next 10 years. Systolic blood pressure, total cholesterol, triglyceride, and smoking contributed significantly to high degree of cardiovascular risk. Presence of cardiovascular risk factors among diabetic patients at diagnosis accentuates the need of intensive management of cardiovascular complications, taking into consideration the traditional dietary pattern of the population. 1. Introduction Changes in the human environment, behaviour, and lifestyle are contributing to the upsurge in the incidence of diabetes. However, better management has resulted in a longer survival of patients with diabetes, but it is accompanied by long-term chronic complications due to hyperglycemia [1]. Individuals with diabetes most often die of cardiovascular disease (CVD) rather than from a cause uniquely related to diabetes, such as ketoacidosis or hypoglycemia [2]. Diabetic patients have a twofold to sixfold higher incidence of cardiovascular disease than nondiabetic population [3]. Furthermore, diabetic patients with CVD sustain a worse prognosis for survival than CVD patients without diabetes and their quality of life also depreciates. Therefore, diabetes has been considered as having a risk equivalent to a nondiabetic patient with preexisting heart disease [4]. Identification of patients at risk for CVD could felicitate the prevention or retardation of cardiovascular events. Lifetime risk estimates provide a simple conceptual basis for estimating the absolute risk of developing disease over the remaining lifespan [5]. Presence of several risk factors among diabetic patients suffering from cardiovascular disease stresses on the assessment of the
%U http://www.hindawi.com/journals/janthro/2014/421439/