ABSTRACT
The author affiliations for Deepak B. Thimiri Govinda Raj which previously read.
ABSTRACT
BACKGROUND: Kawasaki disease is an acute vasculitis occurring between 6 months and 5 years old. Patients younger than 6 months have mostly incomplete form. This clinical symptoms lead to confusion and delayed diagnosis. CASE REPORT: We developed the diagnostic difficulties with a 3-month-old infant. At the beginning, his incomplete presentation misled pediatricians. CONCLUSIONS: We highlight the possibilities of Kawasaki disease in infants younger than 6 months. Indeed, every diagnostic delay increases cardiovascular risk. Nonetheless, in our case, treatment was prescribed in the first 5 days, and the patient developed aneurysms.
Subject(s)
Mucocutaneous Lymph Node Syndrome/diagnosis , Anemia/etiology , C-Reactive Protein/analysis , Cheilitis/etiology , Coronary Aneurysm/etiology , Delayed Diagnosis , Edema/etiology , Fever/etiology , Humans , Hyponatremia/etiology , Infant , Leukocytosis/etiology , Male , Platelet CountABSTRACT
INTRODUCTION: Hypertension (HT) is considered as a major determinant of cardiovascular complications. However, few studies have addressed HT prevalence among adults aged 60 years and older in the northern mountainous region of Vietnam. AIM: To determine the prevalence of HT and its risk factors in the elderly in that area. METHODS: A cross-sectional study was conducted in a study area in the northern of Vietnam. We interviewed 354 adults aged 60 years or over who were randomly selected, and then measured their blood pressure. RESULTS: The overall HT prevalence was 62.15%. The isolated systolic hypertension (ISH) prevalence was 22.88%. There was a slight decrease in the proportion of HT by stage 1, stage 2 and stage 3 respectively. The univariate and multivariate logistic regression analysis indicated some risk factors for HT including age groups, body mass index (BMI) and waist-hip ratio (WHR) (p < 0.05). Furthermore, we also found that the risk factors of ISH was obesity status classified by BMI category and WHR (p < 0.05). In particularly, the ethnicity was statistically significantly associated with ISH. CONCLUSION: Our data showed a high prevalence of hypertension in the elderly in studied area. The risk factors for HT and ISH among studied subjects included age groups, ethnic groups, BMI and WHR. Hence, these findings are important for policy-making related to launch public health prevention and control campaigns for hypertension among older adults in the northern mountainous region of Vietnam.
Subject(s)
Hypertension/ethnology , Rural Health/ethnology , Age Factors , Aged , Aged, 80 and over , Blood Pressure , Body Mass Index , Cross-Sectional Studies , Female , Health Surveys , Humans , Hypertension/diagnosis , Hypertension/physiopathology , Male , Middle Aged , Obesity/ethnology , Obesity/physiopathology , Prevalence , Risk Assessment , Risk Factors , Vietnam/epidemiology , Waist-Hip RatioABSTRACT
BACKGROUND: The aims were to characterize the prevalence of hypertension (HTN) and explore its associations in the northern mountainous. METHODS: We carried out a cross-sectional study in two communes in Chiem Hoa district, Tuyen Quang province, between June and November 2017. All subjects at the age of 18 years and over currently living in two communes. The usage of the descriptive statistics was to characterize the HTN prevalence. We used the univariate and multivariate models of logistic regression to determine the prevalence and related factors of HTN. RESULTS: There were 319 people with overall HTN in the total of 675 participants. Among people with HTN, there were 101 ones with isolated systolic hypertension (ISH). The proportion of HTN among the Tay ethnic group was 47.6%. The factors related to HTN included group, body mass index (BMI), low physical fitness, and waist-hip ratio (WHR). These factors as well as the ethnicity were significantly associated with ISH. CONCLUSIONS: Two communes of Chiem Hoa district in Tuyen Quang province had a high prevalence of HTN. Age, BMI, WHR, and physical activity were the risk factors of overall HTN and ISH. In particular, ISH was affected by ethnicity.
