Heart failure in a multiethnic population in Kuala Lumpur, Malaysia

Background: There are established differences in cardiovascular disease in different racial groups. Worldwide, the literature regarding the clinical epidemiology of congestive heart failure (CHF) in non‐white populations is scarce. Objectives: To document the prevalence of CHF in the multiracial pop...

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Bibliographic Details
Published in:European journal of heart failure 2003-08, Vol.5 (4), p.569-574
Main Authors: Chong, Aun-Yeong, Rajaratnam, Ratna, Hussein, Nur-Run, Lip, Gregory Y.H.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Asian Continental Ancestry Group - genetics
China - ethnology
Coronary Disease - complications
Female
heart failure
Heart Failure - diagnosis
Heart Failure - drug therapy
Heart Failure - ethnology
Heart Failure - etiology
Humans
malaysia
Malaysia - epidemiology
Male
management
Middle Aged
Prevalence
Prospective Studies
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Summary:Background: There are established differences in cardiovascular disease in different racial groups. Worldwide, the literature regarding the clinical epidemiology of congestive heart failure (CHF) in non‐white populations is scarce. Objectives: To document the prevalence of CHF in the multiracial population of Malaysia, and to describe the clinical features and management of these patients. Setting: Busy city centre general hospital in Kuala Lumpur, Malaysia. Results: Of 1435 acute medical admissions to Kuala Lumpur General Hospital over the 4‐week study period, 97 patients (6.7%) were admitted with the primary diagnosis of CHF. Coronary artery disease was the main aetiology of CHF, accounting for almost half (49.5%) the patients, followed by hypertension (18.6%). However, there were variations in associated aetiological factors between ethnic groups, with diabetes mellitus affecting the majority of Indians—as well as underutilisation of standard drugs for CHF, such as the angiotensin converting enzyme (ACE) inhibitors, which were only used in 43.3%. Conclusion: Amongst acute medical admissions to a single centre in Malaysia the prevalence of CHF was 6.7%. Coronary artery disease was the major aetiological factor in heart failure accounting for almost half the admissions. The under‐prescription of ACE inhibitors was similar to other clinical surveys carried out amongst Caucasian populations in the West.
ISSN:1388-9842
1879-0844
DOI:10.1016/S1388-9842(03)00013-8