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[Descriptive study of complicated hypertension. Experience of the Principal Hospital of Dakar]
Insights
Complicated high blood pressure is a leading cause of cardiovascular admissions in Africa. Early detection and management are crucial for preventing severe outcomes like stroke and death.
Area of Science:
- Cardiology
- Nephrology
- Public Health
Context:
- Complicated hypertension is a significant cause of cardiovascular admissions in Africa.
- Hypertension accounts for 33% of cardiovascular admissions in the study period.
Purpose:
- To analyze the characteristics and outcomes of patients with complicated high blood pressure.
- To highlight the prevalence and risk factors of complicated hypertension in the African population.
Summary:
- The study included 85 patients with complicated hypertension, with a mean age of 57.
- Common risk factors included hypercholesterolaemia (52%), cigarette smoking (32%), obesity (21%), and diabetes mellitus (13%).
- Kidney damage (42%), left ventricular hypertrophy (82%), and stroke (21%) were prevalent, with a 10.5% mortality rate.
Impact:
- Findings underscore the urgent need for national preventive strategies for hypertension detection and management in Africa.
- Highlights the critical role of multidisciplinary care in managing complex cardiovascular conditions.
Abstract:
We included in a six month-period 85 patients concerned about complicated high blood pressure. Hypertension represented 33% of 276 admissions for cardiovascular cases. Among the 55 men and 30 women concerned, average age was 57 years-old. Male to female ratio was 1,8. Cardiovascular risk factors were determined as follows: obesity: 18 cases (21%), cigarette smoking: 27 cases (32%), diabetes mellitus: 11 cases (13%), hypercholesterolaemia: 44 cases (52 %). Kidney was damaged in 36 patients (42%). Seventy patients (82%) with systolic dysfunction in 21 cases (30%) presented a left ventricular hypertrophy. Malignant hypertension was noted in 13 cases (15%). Eighteen patients (21%) had stroke and 9 died (10,5%). Drugs association was needed to control hypertension. As for everywhere in Africa, complicated hypertension is the main cause to admission for cardiovascular disease in our day-to-day practice. National preventive measures should help for systematic detection process and adequate management.
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