Prevalence and risk factors of hypertension: A nationwide cross‐sectional study in Lebanon

Cherfan, Michelle; Blacher, Jacques; Asmar, Roland; Chahine, Mirna N.; Zeidan, Rouba Karen; Farah, Rita; Salameh, Pascale

doi:10.1111/jch.13268

Cited by 23 publications

(22 citation statements)

References 31 publications

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“…Control rate using the target of <140/90 mm Hg, was about 50% in treated patients. 4,5 Using a target of <130/80 mm Hg, will make control rate substantially lower, as mean blood pressure in treated patients was 136.5/82.5 mm Hg, well above that target.…”

Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

“…In the two most recent surveys performed in Lebanon, the prevalence of HTN was 31.2% and 35.9%, the treatment rate was 49% and 59%, and the control rate 27% and 29%. 4,5 These surveys have used 140/90 mm Hg as the definition of HTN and an ontreatment blood pressure <140/90 mm Hg as the definition of control.…”

Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

“…The majority of hypertensive patients were on monotherapy and 10% only were on three or more drugs. 4,5 The new guidelines recommending combination therapy for all patients with blood pressure level ≥140/90 mm Hg are greatly welcomed and will likely result in more important blood pressure reduction and in a better control rate. In addition, targeting blood pressure values <130/80 mm Hg will improve physicians "inertia" because it will decrease the fear that many doctors may have from "excessive blood pressure lowering" and it will thus, encourage them to use more than one drug to reach target level.…”

Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

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Global impact of the new European and American hypertension guidelines: A perspective from Lebanon

Azar

Sarkis

2019

J of Clinical Hypertension

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Society of Hypertension (ESC/ESH) were, respectively, published. 1,2 Both introduced several major novelties that have an important impact on the HTN epidemic worldwide. One of the most important novelties was the change in the definition of HTN by the American guidelines to a blood pressure ≥130/80 mm Hg. The European guidelines, however, maintained the same classification of BP categories and kept the definition of HTN at 140/90 mm Hg and above.The second novelty was in the definition of control. The American guidelines recommended reaching a blood pressure <130/80 mm Hg for all patients, while the European guidelines considered a value of <140/90 mm Hg as adequate, with the goal to reach <130/80 mm Hg in younger patients (<65 years) provided that treatment is well tolerated. The third novelty was the recommendation by both guidelines, to use combination therapy in a single pill, as first-line treatment for patients with blood pressure ≥140/90 mm Hg.In countries outside the USA and Europe, especially in those were no local HTN guidelines are available, cardiac societies are faced with the dilemma of which guidelines to follow. This is especially true in countries such as Lebanon, where cardiologists have received advanced training in either the USA or Europe. Local authorities need to assess the impact of these guidelines on the prevalence and on control rate of HTN. Evaluating the impact of the new guidelines in Lebanon is also important, because it may reflect the situation in several other countries belonging to the same group of upper-middle income countries according to the World Bank classification 3 or in surrounding countries in the Middle East, where the impact of these guidelines has not been evaluated yet. In the two most recent surveys performed in Lebanon, the prevalence of HTN was 31.2% and 35.9%, the treatment rate was 49% and 59%, and the control rate 27% and 29%. 4,5 These surveys have used 140/90 mm Hg as the definition of HTN and an ontreatment blood pressure <140/90 mm Hg as the definition of control. In order to assess the impact of the new AHA/ACC definition of HTN on Lebanon, we re-analyzed data from our survey that was performed in 2012-2013 on 1697 Lebanese citizens aged 21 years and above. 4 The global prevalence of HTN increases from 35.9% to 58% if the new AHA/ACC definition is applied.This is mainly due to reclassification of the majority of individuals who were in the normal or high-normal blood pressure range according to the ESC/ESH classification, into hypertensive (Table 1). The major increase in prevalence occurred in young patients aged 21-34 years, where it more than doubled from 14.8% to 38%. The increase in prevalence using the 2017 AHA/ ACC definition occurred (but less in term of relative increase) in other age brackets, going up from 34.1% to 57.4% for the group of 35-49 years, from 57.6% to 75.5% for the group of 50-65 years and from 73.3% to 84.4% in individuals older than 65 years. We cannot evaluate the proportion of patients with a blood pressure between 130-139/80...

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Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

Section: Impac T Of the Ne W G U Ideline S On The Hyperten S I On Ementioning

confidence: 99%

See 1 more Smart Citation

Global impact of the new European and American hypertension guidelines: A perspective from Lebanon

Azar

Sarkis

2019

J of Clinical Hypertension

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“…In Algeria, the HTA gains more ground in the age group of 55 to 70 years, with a predominance of women (20% for men and 28.5% for women) [2;19] However, other studies report a prevalence of 49.7% in women and 51.3% in men [17;18]. In Tunisia and Lebanon, 36% of women are hypertensive against 25% of men in Tunisia [25] and 35.4% against 27.3% in Lebanon [26]. In France, the frequency of hypertension is at level of 33% in males and 37% in females.…”

Section: Factors Associated With Hypertensionmentioning

confidence: 99%

“…On the marital status side, widows and married or divorced persons are more affected by this pathology [22]. In the same vein, Laid et al (2005) add that the unschooled and the unprofessional are also the most exposed to develop an arterial hypertension [2], except for the Lebanese women whose education level is not associated with the occurrence of hypertension [26].…”

Section: Factors Associated With Hypertensionmentioning

confidence: 99%

Prevalence and Associated Factors of Hypertension in Morocco: A Review

Kardoudi¹,

Kaoutar²,

Chetoui³

et al. 2019

World Journal of Research and Review

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HTA is a major public health problem worldwide. Indeed, previous studies have reported that 26.4% of the adult population was hypertensive, for an estimated total of 972 million people: 333 million in developed countries and 639 million in developing countries. For the year 2025, researchers estimated that 29.2% of the adult population will be hypertensive, which represents 1.56 billion individuals, leading by consequent to an increase of 60% in 25 years. In addition, the morbidity and the mortality caused by this disease is increasing in a remarkable way in the developing countries. In Morocco hypertension prevalence data are very scare and limited, the national survey of the Ministry of Health conducted in 2000, reveals a prevalence of 33.6%; a rate that remains high as in other Maghreb or in Mediterranean countries. With regard to the factors involved in this epidemiological situation, it is clear that the radical and irreversible change in lifestyle has contributed significantly to the increase in chronic disease rates, including hypertension. The other main factors could be summarized as: age, food, sedentary lifestyle. It should be noted that there is a almost absence of studies on the prevalence of hypertension and the associated factors in Morocco, which in itself is a limiting factor for understanding the etiology of hypertension. The prevalence of hypertension in Morocco remains high, investigations carried out in this context could improve scientific knowledge and thus, contribute to the prevention and control of the various factors associated with this disease. The objective of this work is to summarize the published work, in relation with the prevalence of hypertension and associated factors in Morocco.

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Hypertension Management in Developing Countries

Cherfane,

Haddad

2023

Handbook of Medical and Health Sciences in Developing Countries

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Prevalence and risk factors of hypertension: A nationwide cross‐sectional study in Lebanon

Cited by 23 publications

References 31 publications

Global impact of the new European and American hypertension guidelines: A perspective from Lebanon

Global impact of the new European and American hypertension guidelines: A perspective from Lebanon

Prevalence and Associated Factors of Hypertension in Morocco: A Review

Hypertension Management in Developing Countries

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