Related Experiment Video

Updated: May 28, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

[Cardiovascular risk evolution in patients treated for high blood pressure at the Armies Instruction's Hospital of

D Houénassi1, Y Tchabi, B Awanou

  • 1Unité de soins d'enseignement et de recherche en cardiologie, faculté des sciences de la santé Cotonou, 011 BP 33, Cotonou camp Guézo, Bénin. martin.houenassi@fss.uac.bj

Annales De Cardiologie Et D'Angeiologie
|October 4, 2011
PubMed

Insights

Cardiovascular risk in hypertensive patients is poorly controlled long-term, with a significant increase in very high-risk individuals despite treatment. This highlights challenges in managing hypertension complications.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension is a major risk factor for cardiovascular disease.
  • Effective long-term management of cardiovascular risk in treated hypertensive patients is crucial.
  • Understanding the progression of cardiovascular risk over time is essential for public health strategies.

Purpose of the Study:

  • To determine the 5-year progression of cardiovascular risk (CR) in African patients undergoing high blood pressure treatment.
  • To analyze the long-term trends and individual evolution of cardiovascular risk in a treated hypertensive population.

Main Methods:

  • Retrospective and descriptive study over 9 years.
  • Inclusion of African patients with at least 5 years of medical care following hypertension treatment.
  • Cardiovascular risk calculated using Framingham tables, with data updated at 1, 3, and 5 years.

Main Results:

  • Among 103 patients with complete data, 13.6% died from cardiovascular complications.
  • A significant increase in the proportion of patients with very high cardiovascular risk was observed (10% to 21%).
  • Individual analysis showed worsening cardiovascular risk in 34.8% of patients, stability in 43.8%, and improvement in 21.3%.

Conclusions:

  • Cardiovascular risk is challenging to evaluate and poorly controlled in the long term for treated hypertensive patients.
  • The study indicates a need for improved long-term cardiovascular risk management strategies in this population.
Abstract

Related Concept Videos

Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...