Hypertension among Outpatients at a General Hospital in South Angola: Prevalence, Awareness, Treatment, and Control

Objective This study aimed to assess the prevalence, awareness, treatment, and control of hypertension in patients attending an outpatient clinic at a general hospital in Huambo, South Angola. Methods A total of 265 subjects aged 18 years and older were included. Evaluation included complete interview and blood pressure measurement using a validated automatic device. Results The prevalence rates of hypertension and prehypertension were 38.5% (95% confidence interval [CI]: 32.83%-44.90%) and 30.20% (95% CI: 24.52%-36.22%), respectively. Hypertension was associated with age (>35 years; odds ratio [OR] = 10.09, 95% CI: 5.46-18.66, P < 0.01) and female gender (OR = 1.81, 95% CI: 1.08-3.05, P = 0.02). Among total hypertensive patients, 54.9% were aware of their diagnosis, 28.43% were in treatment, and 7.84% had controlled blood pressure. Lack of awareness was significantly higher in younger (age ≤ 37 years; OR = 3.28, 95% CI: 1.13-9.49, P = 0.02). Conclusion This study revealed a high prevalence of hypertension, with low awareness, treatment, and control rates. Greater efforts are necessary to overcome these challenges.

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Blood Pressure Screening Campaign in Jamaica: May Measurement Month 2017

American Journal of Hypertension ◽

10.1093/ajh/hpz117 ◽

2019 ◽

Vol 32 (12) ◽

pp. 1186-1191

Author(s):

Magdalene Nwokocha ◽

Cesar A Romero ◽

Cheryl Holder ◽

Natalie Whylie ◽

Hiu Wong ◽

...

Keyword(s):

Blood Pressure ◽

Urban Areas ◽

Disease Burden ◽

Antihypertensive Drugs ◽

Demographic Data ◽

Hypertensive Patients ◽

High Prevalence ◽

Patients With Diabetes ◽

And Control ◽

Significant Disease

Abstract BACKGROUND Hypertension (HTN) is responsible for a significant disease burden in Jamaica. We are reporting the results of the 2017 blood pressure (BP) screening campaign May Measurement Month in Jamaica that aimed to increase the awareness of HTN. METHODS Adults, 18 years old and older, from different parishes of Jamaica were invited to participate during May to June 2017. Demographic data were collected. BP, weight, and height were measured and recorded. RESULTS Five hundred sixty-six participants (n = 566) were enrolled, 91.6% (519) from urban areas, and 72.6% (410) were females. The average age was 53.7 (18–95) years old and body mass index was 28.2 ± 6.6 kg/m2. The prevalence of HTN was 47.3% (267/566), without gender or living areas differences (both P > 0.1). Prevalence of HTN was lower in those who self-identified as Interracial ethnicity, in comparison with Afro-Caribbean (33% vs. 48.3%; P = 0.04). About third of the hypertensive patients were not aware of the high BP (89/267; 35.6%). Between hypertensive patients, 64.4% (172/267) were receiving antihypertensive drugs. The rate of BP control was 32% of the hypertensive patients and 50% of those receiving antihypertensive medication. Significant lower BP control was observed between diabetic vs. nondiabetic patients (34.3% vs. 60%; P < 0.001). CONCLUSION We found a high prevalence of HTN in this population, especially in patients with diabetes or previous cardiovascular diseases. We report an increase in HTN awareness in Jamaica but more advances need to be performed to increase HTN treatment and control.

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Caracterização do perfil de pacientes hipertensos atendidos pela enfermagem no ambulatório de um hospital público

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2177-157x.2012.2.5.26-30 ◽

2012 ◽

Vol 2 (5) ◽

pp. 26

Author(s):

Maria Áurea Cordeiro ◽

Lucia Helena Presoto

Keyword(s):

Public Health ◽

Blood Pressure ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Sao Paulo ◽

Measurement Information ◽

São Paulo ◽

Treatment Frequency ◽

Hypertensive Patients ◽

High Prevalence

A Hipertensão Arterial Sistêmica é uma doença com alta prevalência na população geral e que constitui um dos principais problemas de saúde pública. Este trabalho objetivou traçar o perfil dos pacientes hipertensos atendidos no ambulatório público, localizado na Cidade de São Paulo, no período de 20 de agosto a 25 de setembro de 2009, por meio da análise de 60 usuários escolhidos aleatoriamente, segundo as variáveis: gênero; faixa etária; etnia; estado civil; sobre a patologia; frequência de consulta; tipo de tratamento; periodicidade do tratamento; frequência de aferição da pressão arterial; informações recebidas. Os resultados obtidos demonstraram a predominância do sexo feminino, faixa etária entre sessenta e seis a setenta e quatro anos, estado civil predominou os casados, com a etnia negra, frequência da aferição da pressão arterial de uma a duas vezes por semana.Descritores: Hipertensão Arterial, Pacientes, Saúde Pública. Characterization of the profile of hypertensive patients seen by nurses at the ambulatory of a public hospitalAbstract: The Hypertension is a disease with high prevalence in the general population and is a major public health problems. This study aimed to determine the profile of hypertensive patients seen in outpatient public, located in São Paulo, from august 20 to september 25, 2009, through the analysis of 60 randomly selected users, according to the variables: gender; age, ethnicity, marital status, on the condition, frequency of consultation, type of treatment, frequency of treatment, frequency of blood pressure measurement, information received. The results showed a predominance of females, aged sixty-six to seventy-four years, the married state civil predominated, with black ethnicity, frequency of blood pressure measurement from one to two times a week.Descriptors: Hypertension, Patients, Public Health. Caracterización del perfil de los pacientes atendidos por la enfermería en la clínica de uno hospital públicoResumen: La hipertensión arterial es una enfermedad con una alta prevalencia en la población general y es uno problema de salud pública importantes. Este estudio tuvo como objetivo determinar el perfil de los pacientes hipertensos atendidos en consulta externa pública, que se encuentra en São Paulo, a partir de agosto 20 a septiembre 25, 2009, a través del análisis de 60 usuarios seleccionados al azar, de acuerdo a las variables: género; edad, origen étnico, estado civil, sobre la condición, frecuencia de consulta, el tipo de tratamiento, la frecuencia del tratamiento, la frecuencia de la tensión arterial medida, la información recibida. Los resultados mostraron uno predominio del sexo femenino, con edades entre sesenta y seis-setenta y cuatro años, el estado civil casado predominó, con el origen étnico negro, la frecuencia de la medición de la presión de una o dos veces a la semana.Descriptores: Hipertensión, Pacientes, Salud Pública.

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Sympathetic Neural Mechanisms Underlying Attended and Unattended Blood Pressure Measurement

Hypertension ◽

10.1161/hypertensionaha.121.17657 ◽

2021 ◽

Author(s):

Guido Grassi ◽

Fosca Quarti-Trevano, ◽

Gino Seravalle ◽

Raffaella Dell’Oro ◽

Jennifer Vanoli ◽

...

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Pressure Measurement ◽

Sympathetic Nerve ◽

Blood Pressure Measurement ◽

Automatic Device ◽

Neural Mechanisms ◽

Peak Heart Rate ◽

Hypertensive Patients ◽

Sympathetic Responses

Whether blood pressure (BP) values differ when BP is measured with or without the presence of a doctor (attended and unattended BP measurements) is controversial, and no information exists on whether and to what extent neurogenic mechanisms participate at the possible BP differences between these measurements. In this study, we assessed continuous beat-to-beat finger systolic BP and diastolic BP, heart rate, muscle, and skin sympathetic nerve traffic (microneurography) before and during BP measurement by an automatic device in the presence or absence of a doctor. This was done in 18 untreated mild-to-moderate essential hypertensive patients (age, 40.2±2.8 years, mean±SEM). During attended BP measurement, there was an increase in systolic BP, diastolic BP, heart rate, and skin sympathetic nerve traffic and a muscle sympathetic nerve traffic decrease, the peak changes being +5.3%,+8.4%,+9.4%,+30.9%, and −15.2%, respectively ( P <0.05 for all). In contrast, during unattended BP measurement, systolic BP, diastolic BP, heart rate, and skin sympathetic nerve traffic were modestly, albeit in most instances significantly, reduced, whereas muscle sympathetic nerve traffic remained almost unchanged. During unattended BP measurement, peak systolic BP was 14.1 mm Hg lower, peak heart rate was 10.6 bpm lower, and peak skin sympathetic nerve traffic was 8.5 bursts/min lower than the peak values detected during attended BP measurement. Thus the cardiovascular and neural sympathetic responses to the alerting reaction elicited by BP measurement in the presence of a doctor are almost absent during unattended BP measurement, during which, if anything, a modest cardiovascular sympathoinhibition occurs. This has important implications for comparison of studies using these different BP measurement approaches as well as for decision concerning threshold and target BP values for treatment.

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EFEKTIVITAS PEMBERIAN HYDROTHERAPI RENDAM KAKI PADA PENDERITA HIPERTENSI DI BANJAR SRI MANDALA, KELURAHAN DAUHWARU KABUPATEN JEMBRANA

JURNAL WIDYA BIOLOGI ◽

10.32795/widyabiologi.v10i01.235 ◽

2019 ◽

Vol 10 (01) ◽

pp. 33-44

Author(s):

N.L.G. Sudaryati ◽

I P. Sudiartawan ◽

Dwi Mertha Adnyana

Keyword(s):

Blood Pressure ◽

Systolic Blood Pressure ◽

Diastolic Blood Pressure ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Reduce Blood Pressure ◽

Second Grade ◽

Control Group ◽

Hypertensive Patients ◽

First Category

The aim of the study was to determine the effectiveness of giving hydrotherapi foot soak in hypertensive patients. The study was conducted with one group pretestposttest design without a control group by measuring blood pressure (pretest) before being given an intervention in the form of foot soak hydrotherm against 15 people with hypertension in Banjar Sri Mandala, Dauhwaru Village, Jembrana Subregency. Then do the blood pressure measurement again (posttest) after finishing the intervention. After the study was completed, the results showed that before the hydrotherapi foot bath intervention, there were 0% of patients classified as normal, 13.32% in prehypertension category, 60.08% in hypertension category I and 26.60% in hypertension category II. After the intervention was given, there were 13.32% of the patients classified as normal, 66.68% in the prehypertension category, 20.00% in the first category of hypertension and no patients belonging to the second grade hypertension category. There is a decrease of 20-30 mmHg for systolic blood pressure and 0-10 mmHg for diastolic blood pressure after intervention. Based on the results of the study it can be concluded that the hydrotherapi foot bath is effectively used to reduce blood pressure in hypertensive patients in the Banjar Sri Mandala, Dauhwaru Village, Jembrana District.

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Prevalence of Home Blood Pressure Measurement Among Selected Hypertensive Patients

High Blood Pressure & Cardiovascular Prevention ◽

10.2165/00151642-200512030-00031 ◽

2005 ◽

Vol 12 (3) ◽

pp. 156

Author(s):

C. Cuspidi ◽

S. Meani ◽

L. Lonati ◽

V. Fusi ◽

G. Magnaghi ◽

...

Keyword(s):

Blood Pressure ◽

Pressure Measurement ◽

Blood Pressure Measurement ◽

Home Blood Pressure ◽

Hypertensive Patients

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Feedback based on health advice via tracing bracelet and smartphone in the management of Blood Pressure among hypertensive patients: A Community-based RCT Trial in Chongqing, China (Preprint)

10.2196/preprints.22940 ◽

2020 ◽

Author(s):

Yong Zhang ◽

Yang Tao ◽

Yun Zhong ◽

Jacqueline Thompson ◽

Jamal Rahmani ◽

...

Keyword(s):

Blood Pressure ◽

Control Group ◽

Community Settings ◽

Post Intervention ◽

Attrition Rates ◽

Hypertensive Patients ◽

Professional Health ◽

Group A ◽

And Control ◽

Study Intervention

UNSTRUCTURED Lifestyle interventions have been recognised as a line treatment of non-communicable diseases. The aimed of this study was to evaluate a bespoke mHealth approach to delivers personalised feedback to improve blood pressure and weight for hypertensive patients in community settings. A total of 307 participants, 50 from each community, were expected to be in the intervention or control group. A professional health facilitator was assigned for each of the 6 communities. The primary outcomes of the study are the reduction in blood pressure and weight at baseline and post-intervention. Of 307 recruited,192 (62.5%) participants completed the study (intervention: 104 and control: 88). There was no difference in attrition rates between the two groups (33.5%vs41.9%, p=0.291). After 6-months of intensive feedback intervention through mHealth approach, patients had better blood pressure, weight, and BMI compared with control. People who were adherent to the intervention demonstrated a clinical benefit with regards to weight and blood pressure.

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Abstract P125: Hypertension, Awareness, Treatment, And Control In Nepal: Results From May Measurement Month 2020 Blood Pressure Screening

Hypertension ◽

10.1161/hyp.78.suppl_1.p125 ◽

2021 ◽

Vol 78 (Suppl_1) ◽

Author(s):

Pawan Acharya ◽

Sweta Koirala ◽

Pabitra Babu Soti ◽

Sneha Sharma ◽

Abhishek Sapkota ◽

...

Keyword(s):

Blood Pressure ◽

Smoking Status ◽

Blood Pressure Measurement ◽

Age Groups ◽

Hypertension Status ◽

Safety Measures ◽

Treatment Of Hypertension ◽

Hypertension Awareness ◽

The Mean ◽

And Control

Background: May Measurement Month (MMM) 2020 was not officially executed globally due to the COVID-19 pandemic. But in Nepal, the MMM 2020 was conducted by following COVID-19 safety measures. Methods: We used an opportunistic screening campaign for blood pressure measurement among individuals ≥18 years in Nepal. Of the three measurements, the second and third measurements were used to estimate the mean systolic and diastolic blood pressure(BP). We defined hypertension as the systolic BP ≥ 120 or diastolic BP≥90 mmHg and or currently taking antihypertensive medicine. Results: Among the total 11,486 participants, 57%(6568/11486) were females. The mean age of the screenees was 45years(SD=17.0). The mean systolic and diastolic BP were 125.8(SD= 18.0) and 81.6(SD=10.5) respectively. About 31.3%(3592/11481) participants had hypertension. Among the hypertensive persons, 40.2%(1444/3592) were aware of their hypertension status. Among these who were aware, 79.4%(1146/1444) were taking antihypertensive medicine. However, the overall proportion of hypertensive patients taking medicine was 32.0%(1146/3592). The BP was controlled among 46% ( 527/1444) of participants who were under medication. Logistic regression analysis adjusting age, sex, body mass index(BMI), and smoking status found males, higher age groups, higher BMI, and smokers had higher odds of being hypertensive. (Figure 1) Conclusion: The results suggest a need to address the gap in awareness, diagnosis, and treatment of hypertension in Nepal. The results are limited due to the non-random participation of screenees. Figure 1. Odds ratio plot

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The Relationship Between Blood Pressure Variability And Renal Progression In Hypertensive Patients With Chronic Kidney Disease

Gevher Nesibe Journal, IESDR ◽

10.46648/gnj.270 ◽

2021 ◽

Vol 6 (14) ◽

pp. 80-88

Author(s):

Huseyin Duru ◽

Ekrem KARA

Keyword(s):

Blood Pressure ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Blood Pressure Measurement ◽

Rapid Progression ◽

Night Time ◽

Hypertensive Patients ◽

Significant Difference ◽

Renal Progression

Objective: To evaluate the effect of 24 hour systolic blood pressure (SBP) and diastolic blood pressure (DBP) variability (BPV) on renal progression in hypertensive patients with chronic kidney disease (CKD) Methods: A total 59 hypertensive patients (mean age: 54.2±14.6 years, 50.8% male) with CKD who underwent 24 hours ambulatory blood pressure measurement (ABPM) were included. Data on SBP, DBP, BPV coefficients (VC) for SBP (SBP-CV) and DBP (DBP-CV) were recorded. A decrease in e-GFR of <5 ml/min/year was considered as normal renal progression and a decrease in ≥5 ml/min/year was considered as rapid renal progression. Results: Overall, 40.6% of the patients had uncontrolled HT, while 45.8% had non-dipper pattern. Mean±SD daytime and night-time SBP and SBP-VC values were 135.3±17.9 mmHg, 128.6±23.0 mmHg, 11.7±2.8 and 9.5±3.6, respectively. Mean±SD daytime and nigh-time DBP and DBP-VC values were 84.5±13.4 mmHg, 77.2±16.1 mmHg, 13.8±3.8 and 12.0±3.7, respectively. Rapid renal progression was detected in 25.4% of patients with no significant difference in daytime, night-time and total SBP, SBP-VC, DBP and DBP-VC values between patients with rapid vs. natural renal progression. The regression analysis adjusted for age, gender, presence of DM, baseline e-GFR and dipping status revealed no significant impact of SBP-VC and DBP-VC in predicting rapid progression (p> 0.05). Conclusion: In conclusion, our finding revealed no significant association between BPV and renal progression in hypertensive patients with CKD. Larger scale prospective, randomized controlled trials with longer follow-up are needed to clarify this issue.

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