Publication: Prevalence of coronary heart disease and major cardiovascular risk factors in Thailand
Issued Date
1998-01-01
Resource Type
ISSN
03005771
Other identifier(s)
2-s2.0-0031843939
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Mahidol University
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SCOPUS
Bibliographic Citation
International Journal of Epidemiology. Vol.27, No.3 (1998), 405-409
Suggested Citation
Pyatat Tatsanavivat, Virat Klungboonkrong, Aroon Chirawatkul, Kiertijai Bhuripanyo, Anon Manmontri, Hatai Chitanondh, Tada Yipintsoi Prevalence of coronary heart disease and major cardiovascular risk factors in Thailand. International Journal of Epidemiology. Vol.27, No.3 (1998), 405-409. doi:10.1093/ije/27.3.405 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/18625
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Title
Prevalence of coronary heart disease and major cardiovascular risk factors in Thailand
Abstract
Background: Coronary heart disease (CHD) is expected to become one of the major health problems in developing countries such as Thailand where prevalence data are scarce. This study reports the prevalence of CHD, as indicated by electrocardiogram (ECG) Minnesota coding, and its risk factors in Thailand. Methods: In 1991 we conducted a cross-sectional ECG survey in a multistage random sample of the Thai population, aged ≤ 30. All major cardiovascular risk factors were measured. Standard supine 12-lead ECG data were collected; amplitudes and intervals were measured manually and entered into a computer. Abnormal tracings were verified by five cardiologists, and agreement among at least three of them was accepted as final. Results: The total sample included 3822 men and 4967 women aged ≤ 30 years. The age-standardized prevalence rate of CHD was 9.9/1000 (men 9.2/1000, women 10.7/1000). The age-standardized level of major cardiovascular risk factors among men and women respectively were: total cholesterol 4.8 mmol/l (187.3 mg/dl), 5.1 mmol/l (197.7 mg/dl); hypercholesterolaemia (≤ 6.2 mmol/l) 12.2%, 16.9%; systolic blood pressure (mmHg) 117.8, 117.7; diastolic blood pressure (mmHg) 76.9, 75.8; body mass index (kg/m2) 21.7, 22.8; fasting blood sugar 4.8 mmol/l (87.9 mg/dl), 5.0 mmol/l (90.3 mg/dl); hypertension (≤ 160/95 ± on antihypertensive drugs) 6.3%, 8.1%; smoking 65.1%, 8.5%; diabetes mellitus (≤ 7.8 mmol/l) 2.4%, 3.7%; obesity (> 25 kg/m2) 15.2%, 27.2%. Conclusion: Most of the age-adjusted mean values and proportion of major cardiovascular disease risk factors as well as the prevalence of total CHD in the Thai population were much lower than the median of those values found in developing countries.