Perfil dos pacientes com hipertensão arterial incluídos em uma coorte com HIV/AIDS em Pernambuco, Brasil

Júnior, Evanizio Roque de Arruda; Lacerda, Heloísa Ramos; Moura, Líbia Cristina Rocha Vilela; Albuquerque, Maria de Fátima Pessoa Militão de; Filho, Demócrito de Barros Miranda; Diniz, George Tadeu Nunes; Albuquerque, Valéria Maria Gonçalves de; Amaral, Josefina Cláudia Zirpoli; Monteiro, Verônica Soares; Ximenes, Ricardo A. A.

doi:10.1590/s0066-782x2010005000138

Cited by 11 publications

(4 citation statements)

References 24 publications

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“…40 The present study is, therefore, consistent with the study by Nduka et al 39 (as both ART and abdominal obesity were associated with hypertension) and other studies. 22 The results from the present study indicate an association between hypercholesterolemia and hypertension. www.ghanamedj.org Volume 57 Number 1 March 2023…”

Section: Discussionsupporting

confidence: 57%

Hypertension and associated factors among patients attending HIV clinic at Korle-Bu Teaching Hospital

Nartey

Tetteh

Anto

et al. 2023

gmj

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Objectives: This study determined the prevalence of hypertension and its associated factors among patients attending the HIV clinic at the Korle-Bu Teaching Hospital (KBTH).Design: A hospital-based cross-sectional study was conducted at KBTH. The prevalence of hypertension was estimated among study participants, and socio-demographic, lifestyle, anthropometric, metabolic and HIV/ART-related factors associated with hypertension were determined by logistic regression modelling.Setting: Study participants were recruited from the HIV clinic at the KBTH.Participants: A total of 311 Persons Living with HIV were recruited as study participantsInterventions: Simple random sampling technique was used to recruit study participants. A questionnaire adapted from the WHO STEPwise approach to chronic disease risk-factor surveillance was used to collect study participants' data.Results: The prevalence of hypertension was 36.7%, and the factors associated with hypertension were increasing age, positive family history of hypertension, minimal exercising, current BMI ≥25.0 kg/m2, total cholesterol level ≥5.17 mmol/L, exposure to anti-retroviral therapy (ART) and increasing duration of ART exposure.Conclusions: This study shows a high prevalence of hypertension among patients attending the HIV clinic at KBTH, associated with exposure to ART and increasing duration of this exposure. Blood pressure monitoring should move from routine to a more purposeful screening of patients for hypertension. Patients with the identified risk factors should be encouraged to have regular blood pressure measurements at home and not only when they visit the HIV clinic.

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Section: Discussionsupporting

confidence: 57%

Hypertension and associated factors among patients attending HIV clinic at Korle-Bu Teaching Hospital

Nartey

Tetteh

Anto

et al. 2023

gmj

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“…Ferreira et al37 investigated the prevalence of cardiovascular risk factors among the elderly treated by SUS in the city of Goiania, state of Goias, Brazil and found that factors occur simultaneously in more than half of the elderly individuals, and the most prevalent ones were: arterial hypertension, central obesity and sedentary lifestyle. Arruda et al38 estimated the prevalence of hypertension and describe the characteristics of patients with hypertension infected by HIV/AIDS. They conclude that a high frequency of uncontrolled hypertensive patients and cardiovascular risks in HIV-infected patients point out to the need for preventive and therapeutic measures against hypertension in this group.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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“…It is important to note that both patients had the same follow-up in the study and in hospital in general, not unless they feel the need to come to the hospital. Other studies found no significant difference in CD4-cell counts in ART patients with and without hypertension 43 , 44 . Our results could be explained by the possibility that patients being treated and counseled for hypertension may have better lifestyle habits as they attempt to bring it under control and this may consequently lead to better immune system functioning.…”

Section: Discussionmentioning

confidence: 82%

“…In a cross-sectional study aimed to estimate the prevalence of hypertension and describing the characteristics of patients with hypertension infected by HIV/AIDS in the state of Pernambuco in Brazil, the results reveal that there was no difference between hypertensive and pre-hypertensive patients with regard to parameters related to HIV infection and treatment such as viral load. One then can conclude that having hypertension does not prove to be a predisposing factor for one to not achieve viral load suppression 43 .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with prognostic or treatment outcomes in HIV/AIDS patients with and without hypertension in Eswatini

Dlamini

Dahms‬

2021

Sci Rep

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Non-communicable diseases are increasing faster in HIV/AIDS patients than in the general population. We studied the association between hypertension and other possible confounding factors on viral load and CD4-cell counts in hypertensive and non-hypertensive HIV/AIDS patients receiving antiretroviral therapy (ART) at a large hospital in Eswatini over a 4-year period. We performed a retrospective longitudinal review of the medical records of 560 ART patients divided into non-hypertension and hypertension groups (n = 325 and n = 235) from July 27 to September 8, 2018. Generalized Estimated Equation was used to analyze the longitudinal data. Hypertensive patients were more likely to have improved CD4-cell counts than non-hypertensive patients (OR = 1.83, [1.37–2.44]). ART patients with hypertension were more likely to have detectable viral loads, though not significant (OR = 1.37 [0.77–2.43]). In non-hypertensive patients, second line ART was significantly associated with viral load (OR = 8.61 [2.93–25.34]) and adverse side effects (OR = 3.50 [1.06–11.54]), while isoniazid preventive therapy was significantly associated with CD4-cell counts (OR = 1.68 [1.16–2.45]). In hypertensive patients, factors associated with viral load were WHO HIV stage (OR = 2.84 [1.03–7.85]) and adherence (OR = 8.08 [1.33–49.04]). In both groups, CD4-cell counts significantly and steadily increased over time (p-value < 0.001). Results show a significant association between hypertension and CD4 cell counts but not viral load. In ART patients with and without hypertension, the factors associated with prognostic markers were different. More attention may need to be paid to ART patients with well controlled HIV status to monitoring and controlling of hypertension status.

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Perfil dos pacientes com hipertensão arterial incluídos em uma coorte com HIV/AIDS em Pernambuco, Brasil

Abstract: Background: Hypertension (HBP) is modifiable risk factor, whose control may reduce cardiovascular disease in patients with human immunodeficiency virus (HIV).

Cited by 11 publications

References 24 publications

Hypertension and associated factors among patients attending HIV clinic at Korle-Bu Teaching Hospital

Hypertension and associated factors among patients attending HIV clinic at Korle-Bu Teaching Hospital

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Factors associated with prognostic or treatment outcomes in HIV/AIDS patients with and without hypertension in Eswatini

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