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[Factors associated with poor blood pressure control in 253 treated hypertensive patients]
M F Mesli1, M Raïah1, B Mohammedi1
1Laboratoire de biostatistique, faculté de médecine Oran, BP 1510, 31000 Oran El M'Naouer, Algérie.
Insights
High blood pressure remains a global health issue. In Oran, 69.6% of hypertensive patients had uncontrolled hypertension, with salt consumption being a key contributing factor.
Area of Science:
- Cardiology
- Public Health
- Hypertension Management
Context:
- Hypertension is a significant global public health concern.
- Effective blood pressure control is crucial for reducing cardiovascular risk.
- Understanding uncontrolled hypertension prevalence is vital for targeted interventions.
Purpose:
- To determine the prevalence of uncontrolled hypertension.
- To identify factors associated with poor blood pressure control in hypertensive patients.
- To inform strategies for improving hypertension management in Oran.
Summary:
- A study of 253 hypertensive patients in Oran revealed a high prevalence of uncontrolled hypertension (69.6%).
- Multivariate analysis identified increased salt consumption as a significant factor associated with uncontrolled blood pressure (ORa=2.71).
- Prevalence was higher in men (75.8%) compared to women (65.8%).
Impact:
- Highlights the need for targeted nutritional interventions, specifically focusing on salt reduction.
- Emphasizes the importance of regular monitoring and management of hypertension.
- Provides data to support public health initiatives aimed at improving cardiovascular health in the region.
Introduction:
Hypertension is a major public health problem throughout the world. The blood pressure control and the decrease of global cardiovascular risk are two main goals of the treatment of hypertension. The purpose of this study was to determine the proportion and associated factors of uncontrolled hypertension in hypertensive patients followed by private cardiologists in Oran.
Materials And Methods:
This study included 253 hypertensive patients followed by 7 private cardiologists in Oran. Was regarded as uncontrolled high blood pressure, a systolic blood pressure (SBP) superior or equal to 140 mmHg and/, or a diastolic blood pressure (DBP) superior or equal to 90 mmHg. A logistic regression analysis was performed to determine the associated factors with poor blood pressure control.
Results:
The proportion of uncontrolled hypertension was 69.6 % (75.8 % of men and 65.8 % of women). Using multivariate analysis, poor blood pressure control was found to be associated with salt consumption (ORa=2.71; CI 95 %=[1.42-5.18]).
Conclusion:
Nutritional actions are required for better blood pressure control.
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