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2015 Oman Heart Association guidelines for the management of hypertension : practical recommendations from the Oman
Mohammed H El-Deeb1, Kadhim J Sulaiman, Abdullah A Al-Riyami
1Ministry of Health, Muscat, Sultanate of Oman, deebcardio@hotmail.com.
Insights
Hypertension (HTN) management in Oman faces challenges with poor patient control, often due to physician adherence to guidelines. This document offers a concise approach for Omani physicians to improve hypertension care and reduce cardiovascular disease risk.
Area of Science:
- Cardiology
- Public Health
- Nephrology
Background:
- Hypertension (HTN) is a primary risk factor for stroke, coronary artery disease (CAD), peripheral arterial disease (PAD), heart failure (HF), and chronic kidney disease (CKD).
- Hypertension represents a significant and growing public health concern in Oman, identified as the most prevalent modifiable risk factor for cardiovascular disease (CVD).
- Despite established benefits of blood pressure (BP) lowering through lifestyle changes and antihypertensive therapy, a majority of hypertensive patients remain uncontrolled.
Purpose of the Study:
- To provide Omani physicians with a concise and practical guide for implementing evidence-based hypertension management guidelines.
- To address the challenges of poor hypertension control in Oman, linked to medication adherence and physician awareness of best practices.
Main Methods:
- This document synthesizes existing hypertension management guidelines.
- It focuses on a direct approach for clinical practice implementation tailored to Omani physicians.
Main Results:
- The abstract does not specify quantitative results but implies that a concise guideline approach will improve physician adherence and patient outcomes.
- Improved adherence to evidence-based management is expected to enhance blood pressure control rates.
Conclusions:
- Effective management of hypertension is crucial for reducing the risk of major cardiovascular and kidney diseases.
- A simplified, direct approach to guideline implementation is needed to improve hypertension control among Omani physicians and patients.
Abstract:
Hypertension (HTN) is a major independent risk factor for the development of stroke, coronary artery disease (CAD), peripheral arterial disease (PAD), heart failure (HF) and chronic kidney disease (CKD). HTN is a growing public health problem in Oman, almost certainly the most prevalent modifiable risk factor for cardiovascular disease (CVD). The risk of CVD in patients with HTN can be greatly reduced with lifestyle modifications and effective antihypertensive therapy. Randomized trials have shown that blood pressure (BP) lowering produces rapid reductions in CV risk. Several studies have shown that the majority of the hypertensive patients remain uncontrolled. It is well established that the observed poor control of the disease is not only related to poor adherence to medications, but also to limited awareness and adherence to evidence-based management of hypertension among physicians. Several guidelines for the management of patients with hypertension have been published. However, the aim of this document is to provide the busy physicians in Oman with more concise and direct approach towards implementing these guidelines into clinical practice.
