Abstract

Background: Primary hypertension is a global health concern, with the monocyte HDL-C ratio potentially serving as a biomarker for cardiovascular risk and disease progression. This study aims to understand its predictive value in identifying individuals at higher risk for primary hypertension, potentially aiding in developing new diagnostic and treatment approaches. Methods: The study at BSMMU, Dhaka, examined the relationship between HDL-C ratio and monocyte in patients with primary hypertension. The sample size was 85, and the study used purposive sampling. The independent variables included age, sex, weight, height, BMI, waist circumference, and monocyte ratio. The results have implications for clinical practice and future research. Results: The study found that 85 participants were hypertensive without complications, with 73 (85.9%) without complications. The distribution was similar across age groups, genders, and BMI categories. Diagnostic findings showed a diverse distribution of complications among hypertensive individuals, emphasizing the need for tailored management approaches. The study also found a positive association between age and Monocyte to HDL-C Ratio (MHR), with a lower MHR among females. Family history of hypertension was linked to a diminished MHR.

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