Skip Navigation

European Journal of Heart Failure 2003 5(4):569-574; doi:10.1016/S1388-9842(03)00013-8
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Chong, A.-Y.
Right arrow Articles by Lip, G. Y.H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chong, A.-Y.
Right arrow Articles by Lip, G. Y.H.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 2003 European Society of Cardiology

Heart failure in a multiethnic population in Kuala Lumpur, Malaysia

Aun-Yeong Chong, Ratna Rajaratnam, Nur-Run Hussein and Gregory Y.H. Lip*

University Department of Medicine City Hospital, Birmingham B18 7QH, UK

* Corresponding author. Tel.: +44-121-5075080; fax: +44-121-554-4083 E-mail address: g.y.h.lip{at}bham.ac.uk


  Abstract

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.

Key Words: Heart failure • Management • Malaysia

Received October 28, 2002; Revised December 16, 2002; Accepted January 15, 2003


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Eur J Heart FailHome page
N. M. Hawkins, M. C. Petrie, P. S. Jhund, G. W. Chalmers, F. G. Dunn, and J. J.V. McMurray
Heart failure and chronic obstructive pulmonary disease: diagnostic pitfalls and epidemiology
Eur J Heart Fail, February 1, 2009; 11(2): 130 - 139.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
J D Newton, H M Blackledge, and I B Squire
Ethnicity and variation in prognosis for patients newly hospitalised for heart failure: a matched historical cohort study
Heart, December 1, 2005; 91(12): 1545 - 1550.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.