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Dechmaa Jagdal

Mongolian National University of Medical Sciences, Mongolia

Title: The prevalence and associated risk factors for isolated systolic hypertension in Mongolia

Abstract

Background: In our country, 41.8 percent of morbidity and 52 percent of mortality due to cardiovascular diseases are caused by arterial hypertension. The researchers have been studied the prevalence and associated risk factors of arterial hypertension; however, there has been no study about Isolated systolic hypertension (ISH) among Mongolians. 

Methods: We studied the prevalence and associated risk factors of ISH using cross-sectional study design. Salt consumption of subjects with ISH (n=646) and atherosclerosis of the carotid artery (n=110) were studied using case-control study design. 

Results: Of the study subjects aged 15-64, 7.4 percent, 6.5 percent and 6.7 percent had ISH in 2005, 2009, and 2013, respectively. The prevalence of ISH increased with age, ISH was more prevalent compared to females. We revealed that the risk for ISH is increasing by 6.4 percent each year, and by 2.5 percent each gram of salt intake. Males have 2.6 times increased risk for ISH was compared to females, and also subjects with central obesity had 2 times and subjects with high glucose in serum had 2.4 times increased risk of ISH, respectively. The mean salt in urine among study subjects with ISH was a high. The atherosclerosis of carotid artery is increasing every year by 6.0 percent, every mm Hg of systolic blood pressure by 5.8 percent and every year of duration of ISH by 8.8 percent respectively. 

Conclusion: There was no decreasing tendency in the prevalence of Isolated systolic hypertension. 

The prevalence of Isolated systolic hypertension increased with age. Aging, male gender, central obesity, increase of glucose in serum and excessive salt intake are found to be independent risk factors for Isolated systolic hypertension. Having a high systolic blood pressure level for a long time is a significant predictor for atherosclerosis of carotid artery. 

Biography

Dechmaa Jagdal has completed his PhD at the age of 38 years from Mongolian National University of Medical Sciences. She is a Cardiologist and the head of Internal department of “Ach” Medical University of Mongolia.