Infective endocarditis is still frequently associated with rheumatic disease among young adults in Tunisia, with a high frequency of negative blood cultures and high in-hospital mortality, given that the population affected is relatively young.

This study suggests that the prevalence of hypertension in North Africa is high. Hypertension may also be underdiagnosed and ineffectively treated. Greater awareness and improved management of hypertension and cardiovascular risks are needed in this region.

The aim of the Epidemiological Trial of Hypertension in North Africa (ETHNA-Tunisia) was to evaluate the prevalence and clinical profile of hypertension in a large sample of individuals in Tunisia. This was multicenter, epidemiological, cross-sectional study conducted in patients consulting primary care physicians in Tunisia. Mean age of 5802 individuals was 49.6±16.3years. The total prevalence of hypertension was 47.4% (adjusted for age: 26.9%). Control of hypertension was only 37.1%. Hypertension may also be underdiagnosed and ineffectively treated. Greater awareness and improved management of hypertension and cardiovascular risks are needed in Tunisia.

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