Uncontrolled Hypertension among Treated Hypertensive Patients

Al-Aghbari Khaled,Askar Faiza,Bamashmoos Mohammed

doi:10.33805/2639.6807.114

Al-Aghbari Khaled, Askar Faiza + Show 1 more

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https://doi.org/10.33805/2639.6807.114

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Abstract

Objectives: To determine the prevalence of uncontrolled hypertension among Yemeni hypertensive patients on treatment. Methods: Cross sectional study was conducted among hypertensive adult patients presented to a private cardiac center in Sana’a from January to December 2016. All adult patients diagnosed to have hypertension for at least 3 months prior to the interview were included in this study. Each patient was clinically examined by training doctor on arrival to clinic and then every 3 months. The examination included; personal history, blood pressure, and through cardiovascular examination and recorded. Demographic data, special habits, body mass index, medication used and other laboratory data were registered. Collected data was coded and enter into Pc for statistical analysis. Results: The total number of patient with hypertension (HTN) presented into Cardiac Centre were 277. Of them 187 (67.5%) Were males and 90 (32.5%) were females, their age was ranged from 27 to 100 year with mean age of 57.5 ± 12.3. 61 patients (22.0%) had stage I hypertension (HTN) and stage II (HTN) was found in 182 Patients (65.7%). Of the total cases target BP controlled was achieved in 34 patients (12.3%). Several risk factors have been significantly associated with uncontrolled hypertension and these were; ischemic heart disease, elder age, left ventricular hypertrophy and renal impairment. There were no significant association between uncontrolled hypertension and other variables (Gender, Qat chewing, BMI, duration of hypertension and associated disease as diabetes mellitus, Cerebrovascular accident, medications & blood cholesterol level). Conclusion: Prevalence of uncontrolled hypertension was high in individuals with concomitant hypertension and comorbidity factors. IHD, renal impairment aging and left ventricular hypertrophy are the most important determinants of uncontrolled hypertension.

Highlights

Hypertension is a prevalent predictor of cardiovascular problems and considers a leading risk factor for mortality worldwide especially in low- and middle-income countries [1]
This cross-sectional study involved adult patients consecutively presented to Cardiac Centre (CC) in Sana’a with uncontrolled hypertension during 2016
Uncontrolled hypertension is defined as an average systolic blood pressure ≥140 mmHg or an average diastolic blood pressure ≥90 mmHg, among those who are under anti-hypertensive treatment

Summary

Introduction

Hypertension is a prevalent predictor of cardiovascular problems and considers a leading risk factor for mortality worldwide especially in low- and middle-income countries [1]. Males had slightly higher prevalence of hypertension than females [2]. One billion persons are living with uncontrolled hypertension worldwide [3]. In spite of intensive medical treatment, hypertension often remains uncontrolled in general practice. Uncontrolled hypertension is the major cause of heart failure in females and numbers two of most common cause heart failure in males [4]. It accounts for 40% of deaths from ischemic heart disease and 51%

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