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Differential control of systolic and diastolic blood pressure in blacks with essential hypertension

Olugbenga E Ayodele1, C Olutayo Alebiosu, Babatunde L Salako

  • 1Department of Medicine, College of Health Sciences, Ladoke Akintola University of Technology, Osogbo, Osun State, Nigeria.

Journal of the National Medical Association
|March 26, 2004
PubMed

Insights

Systolic blood pressure is less controlled than diastolic blood pressure in Nigerian patients with primary hypertension. This finding highlights a potential increased risk for cardiovascular and renal diseases in this population.

Area of Science:

  • Cardiology
  • Nephrology
  • Public Health

Background:

  • Systolic blood pressure (SBP) poses a higher risk for cardiovascular and renal diseases compared to diastolic blood pressure (DBP).
  • Primary hypertension management requires understanding differential blood pressure control.

Purpose of the Study:

  • To assess the differential control of SBP and DBP in Nigerian patients with primary hypertension.

Main Methods:

  • Prospective observational study in Abeokuta, Nigeria.
  • 185 hypertensive patients (aged 35-85) with prior treatment were assessed over one year.
  • Six clinic blood pressure readings were taken for each patient to calculate average SBP and DBP.

Main Results:

  • Overall, 31.4% of patients achieved controlled blood pressure.
  • DBP control (51.4%) was significantly more frequent than SBP control (35.7%).
  • Patients with uncontrolled SBP were significantly older than those with uncontrolled DBP.

Conclusions:

  • SBP control is less frequent than DBP control in treated Nigerian hypertensive patients.
  • Suboptimal SBP control may elevate the risk of stroke, cardiovascular, and renal complications.
Abstract

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