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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Contemporary Baseline Clinical Profile of Chronic Hypertensive Heart Failure in Ibadan, Nigeria

O S Ogah1,2, O A Orimolade1, A A Adebiyi1,2

  • 1Cardiology Unit, Department of Medicine, University College Hospital, Ibadan, Ibadan, Oyo State, Nigeria.

West African Journal of Medicine
|September 23, 2025
PubMed

Insights

Hypertensive heart disease in Nigeria affects a younger population than in high-income countries. Early hypertension prevention is crucial to reduce cardiovascular disease burden in Sub-Saharan Africa.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Cardiovascular disease (CVD) is a leading cause of death in Sub-Saharan Africa (SSA).
  • Data on hypertensive heart disease patterns in SSA is limited.
  • Hypertensive heart disease poses a significant health challenge in the region.

Purpose of the Study:

  • To describe the characteristics of heart failure due to hypertensive heart disease in Ibadan, Nigeria.
  • To provide insights into the demographics and clinical features of this condition in the Nigerian population.

Main Methods:

  • A hospital-based cross-sectional study was conducted at the University College Hospital, Ibadan, Nigeria.
  • Data was collected from 753 patients with chronic hypertensive heart failure between August 2016 and July 2021.
  • Statistical analysis was performed using SPSS, with a significance level of p < 0.05.

Main Results:

  • The study included 753 subjects with a mean age of 60.3 years.
  • Diabetes mellitus was the most common comorbidity (13.9%).
  • Females had higher serum sodium, creatinine, and total cholesterol. Males were more prone to left-axis deviation, left atrial abnormality, and heart failure with reduced ejection fraction.

Conclusions:

  • Hypertensive heart failure in Ibadan affects a younger demographic compared to high-income countries.
  • Findings align with existing data from other SSA regions.
  • Emphasizes the need for widespread hypertension preventive programs to mitigate cardiovascular disease.
Abstract

Keywords:
Cardiac FailureHeart failureHigh blood pressureHypertensionNigeriaSystolic dysfunction

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