Assessment of hypertension control and factors associated with the control among hypertensive patients attending at Zewditu Memorial Hospital: a cross sectional study

Abstract

ObjectiveThis study was conducted to assess hypertension control and factors associated with it among hypertensive patients on treatment at Zewditu Memorial Hospital.ResultsA total of 225 patients were included in the study, of which 55.6% of patients were females. The mean age of the patients was 55.2 years and half of them had a family history of hypertension. About 29% of patients had comorbidities. Angiotensin-converting enzyme inhibitors (ACEIs), calcium channel blockers (CCBs) and beta-blockers (BBs) were the most frequently prescribed medications. Majority of (83.1%) the patients received combination therapy. The most frequent two and three drugs class combination were ACEI + BB and ACEIs + CCB + BB, respectively. Drug treatment was modified for 22.2% of patients and blood pressure (BP) was controlled in 26.2% of patients. Older age was associated with good BP control (AOR 2.58, CI 1.27–5.24), while treatment modification was associated with poor BP control (AOR 0.21, CI 0.07–0.65). The findings indicate that BP control was low and factors like middle age and treatment modification contributed to the low BP control. It is recommended that the physicians should be adherent to current guidelines regarding the selection of appropriate antihypertensive medications so as to achieve target BP goals.Electronic supplementary materialThe online version of this article (10.1186/s13104-019-4173-8) contains supplementary material, which is available to authorized users.

<p>Magnitude and Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow-Up at Nekemte Referral Hospital, Western Ethiopia</p>

“…[30][31][32] Hypertensive patients were further dichotomized into controlled and uncontrolled BP groups based upon achievement of blood pressure goals as per the eighth joint national committee (JNC 8) recommendations. 9,15,16,31 Patients were classified as having controlled BP if BP readings <140/90 mmHg for all adults ≥18 years old and <150/90 for adults aged ≥60 years. Uncontrolled if BP ≥150/90mmHg in hypertensive patients aged 60 or older, or BP≥140/90 mmHg in hypertensive patients aged less than 60 years and all ages of hypertensive patients with diabetes or chronic kidney disease.…”

“…The participants were classified as physically active if they perform a physical exercise for at least 30 minutes per day for at least 5 days per week (≥150minutes per week), otherwise, they were classified as physically inactive. 9,21,27,38 This physical exercise includes work or sports that involve a moderate-intensity activity that causes small increases in breathing or heart rate, such as brisk walking, carrying light loads, cycling, swimming, volleyball, dancing, farming, gardening, and house working. 16,21…”

“…1,[5][6][7][8] It is one of the major, prevalent but modifiable risk factors, especially among patients with established cardiovascular disease (CVD) and cerebrovascular accidents. 2,9,10 As a result, HTN is the leading cause of morbidity and mortality among non-communicable diseases [11][12][13][14][15] and ranks third as a cause of disability-adjusted life-year causing about 7.1 million premature deaths each year. 11 Additionally, the complications of HTN account for 9.4 million deaths worldwide every year.…”

“…16 If left uncontrolled, HTN causes stroke, heart failure, dementia, coronary heart disease, peripheral vascular disease, renal impairment, retinal hemorrhage and blindness imposing severe financial and service burdens on health care systems. 9,11,[17][18][19] There is a close relationship between blood pressure (BP) levels and the risk of cardiovascular events, strokes and kidney disease. Above 115/75 mm Hg, for each increase of 20 mm Hg in systolic blood pressure (SBP) or 10 mm Hg in diastolic blood pressure (DBP), the risk of major cardiovascular and stroke events doubles.…”

Prevalence of hypertension and its risk factor among textile workers in low-and-middle-income countries: A systematic review protocol

“…Moreover, worldwide high blood pressure is one of the major risk factors for cardiovascular diseases (CVD) that refers to diseases of the heart and blood vessels (6,7),stroke, coronary artery disease and peripheral vascular disease (7). The burden of CVD across the world is very high and in LMICs, 47% of mortality secondary to CVDs and 44% of CVDs burden are attributable to HTN/high blood pressure (BP) (7,8). Generally, it is asymptomatic and the primary presentation can be seen with a devastating event like stroke or heart disease (9).…”