BLOOD PRESSURE CONTROL AMONG DIABETICHYPERTENSIVES UNDER CARDIOLOGY FOLLOW-UPAT A REGIONAL HOSPITAL IN RURAL MALAYSIA

摘要

Three hundred thirty-one consecutive patients presenting with hypertension to the outpatient medical clinic of Tengku Ampuan Afzan Hospital, Kuantan, Malaysia were screened and 150 patients with concurrent diabetes were enrolled into a cross-sectional study. The majority of patients were male (60.6%) with a mean age of 60.0 +-11.0 years. The mean systolic blood pressure (SBP) was 140.9 +-20.1 mmHg and the mean diastolic blood pressure (DBP) was 81.7 +-9.8 mmHg. Only 38.0% (57/150) of patients had blood pressures within recommended guidelines (130/80 mmHg). The mean blood pressure in this group was 123.7 ?8.5/76.4 ?5.6 mmHg. The majority of patients were on either 2 (41.3%) or 3 (31.3%) anti-hypertensives. Females had a significantly higher SBP 145.4 ?22.7 vs 138.0 ?17.8 mmHg in males (p=0.026). The level of blood pressure control in diabetics was unsatisfactory, especially in females and the elderly. A reassessment of priorities in the management of patients with concurrent hypertension and diabetes is therefore, urgently needed.