Epidemiology of Conventional Cardiovascular Risk Factors Among Hypertensive Subjects with Normal and Impaired Fasting Glucose (Original Articles) (Report)

Epidemiology of Conventional Cardiovascular Risk Factors Among Hypertensive Subjects with Normal and Impaired Fasting Glucose (Original Articles) (Report)

The prevalence of cardiovascular disease is continuously rising throughout Africa. (1-5) The epidemiological transition impelling the developing world towards more non-communicable diseases, and especially cardiovascular disease, has been attributed to westernisation, reduced physical activity, obesity and the growing prevalence of cardiovascular risk factors. (1) Although the prevalence of cardiovascular diseases is at present less than in the developed world, an enormous rise in the near future, and also that most of the increase will come from developing nations (especially Africa), has been predicted. (6) The African INTERHEART Study, (7) which looked at the contribution of conventional risk factors among subjects with developed coronary heart disease (CHD), found that 90% of these subjects had the conventional risk factors of smoking, diabetes mellitus (DM), hypertension, abdominal obesity and dyslipidaemia. This finding further highlights a similar pathway in the evolution of cardiovascular diseases. Hypertension and diabetes are related to one another in many ways. Both can individually and jointly increase cardiovascular risk, morbidity and mortality of individual subjects. (5) Heart disease (especially CHD) is a major cause of morbidity and mortality among subjects with abnormal glucose tolerance. (9) The National Cholesterol Education Programme Adult Treatment Panel III views diabetes as being a cardiovascular risk factor equivalent to hypertension. (10)

Epidemiology of Conventional Cardiovascular Risk Factors Among Hypertensive Subjects with Normal and Impaired Fasting Glucose (Original Articles) (Report)

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