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Updated: Aug 9, 2026

Non-invasive Assessment of Microvascular and Endothelial Function
Published on: January 29, 2013
[Arterial hypertension in the French Caribbean regions: gender related differences]
1Departement de Cardiologie, Fort-de-France. jocelyn.inamo@chu-fortde-france.fr
Background:
Arterial hypertension is a frequent disease, responsible for a significant morbidity, in the French Caribbean regions. Today, epidemiological studies on this topic remain few.
Objectives:
To analyse the prevalence, awareness, treatment and control of arterial hypertension in the French Caribbean regions.
Methods:
Analysis of the INHAPAG cohort (Incidence of Arterial Hypertension in the Working population Antillo-Guyanaise) carried out in 2001, and including 6113 active subjects recruited in Guadeloupe, Martinique and Guyana. The procedure of diagnosis of arterial hypertension comprises two visits, with a series of three measurements of the blood pressure at each visit.
Results:
Prevalence of hypertension is estimated to be 18.9% among women and 19.5% among men. The rates of treatment are higher among women (74.8 vs 34.4%) than among men, resulting in a much better control rate (61.3% vs 38.6% among men). An analysis of factors associated with the presence of arterial hypertension shows a noxious role of low education level among women.
Conclusion:
Our study finds marked differences between women and men in the treatment and control of arterial hypertension and underline the need for improving blood pressure management of the latter.
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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