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KMID : 1164420100050020108
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Health Communication
2010 Volume.5 No. 2 p.108 ~ p.118
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Epidemiological Characteristics and Proteinuria Patterns of Hypertensive Disease in Mongolian
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Doh Young-Seok
Kim Hyo-Sang
Hong Seung-Kwon
Eom Joong-Sik
Kim Chun
Ahn Curie
Banzragch Lkhaguasuren
Chun Min-Young
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Abstract
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During medical support activities in Ulaanbaatar city of Mongolia, we found out that hypertension is prevalent and we investigated the epidemiological characteristics of hypertension in this region. According to JNC-VII, 490 medical patients over 18 years of age that were treated at Hanuul district hospital for 6 days from 30th April 2009 were classified in the order of normal (normal group), prehypertension (group 1), 1st stage hypertension (group 2), and 2nd stage hypertension (group 3). Age, Body Mass Index (BMI), diabetes, sex, clinical symptoms, electrocardiogram, proteinuria of each group were compared with data from studies conducted in East Asia. Age, BMI, frequency of chest pain were significantly different between groups. The proportions of abnormal ECG in each group were high and showed increasing tendency as blood pressures were higher but was not statistically significant due to the limitations of the study. In patients with chest pain, the proportion of abnormal ECG findings in each group showed a sharp increase in the order of 0%, 17%, 29%, 53%, respectively (p <0.05). In patients with chest pain, systolic and diastolic blood pressure, mean blood pressure, pulse pressure, hypertension, male sex were statistically significant risk factors for abnormal ECG findings (p<0.05). But age,
BMI, diabetes did not show statistically significant relationship. Meanwhile, as the blood pressure increases, proteinuria (’1+’ or higher: 30 mg/dL or greater) ratio was significantly higher (p<0.05) and heavy proteinuria (’2+’ or higher: 100 mg/dL or greater) ratio increased more rapidly. The proteinuria prevalence was higher than that of Korea and other countries. This study was conducted with hospital patients in certain area of the city and the female proportion was high. However, it could be concluded that the more abnormal ECGs and the heavier proteinuria are accompanied with the higher blood pressure group in Mongolia by a higher proportion compared with reports of the other studies with primary healthcare in East Asia.
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KEYWORD
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Mongolian, Hypertension, Proteinuria, ECG
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