Hypertension artérielle et niveau de contrôle à Brazzaville (Congo) : place du Holter tensionnel

Ikama, Méo Stéphane; Nsitou, Bernice Mesmer; Makani, Jospin; Nkalla-Lambi, M.; Passi-Louamba, C.

doi:10.1016/j.ancard.2015.01.007

Cited by 9 publications

(9 citation statements)

References 19 publications

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“…The family history or genetic factors of hypertension are associated with UBP in our study. This result is similar to those reported by the sub-Saharian countries [18, 21, 35–37]; this could be explained by a demotivation of the patients to fight the disease.…”

Section: Discussionsupporting

confidence: 91%

“…In our findings, males are more likely to be associated with UBP. This finding is similar to the results of the cross-sectional study conducted in Congo on a sample of 620 hypertensive patients [21]. However, different results were obtained in a study conducted in Zimbabwe and Malaysia that have been in contrast with our current findings [22, 23].…”

Section: Discussionsupporting

confidence: 88%

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Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

Essayagh

Rhaffouli³

et al. 2019

PLoS ONE

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Background Uncontrolled high blood pressure (UBP) can lead to various cardiovascular complications causing an estimated nine million deaths per year worldwide. In Meknes, epidemiologic data on UBP are scarce, depriving programs from evidence-based information that would allow a better management of hypertension. Hence, we aimed to assess UBP prevalence in hypertensive patients treated in Meknes and identify UBP-associated risk factors. Methods Between November and December 2017, we conducted a cross-sectional study enrolling 922 hypertensive patients managed at Meknes’s primary health care facilities using the multistage sampling method. We interviewed patients face to face to collect their socio-demographic-characteristics, lifestyle behaviours, clinical parameters and the triad care system-patient-physician. Another questionnaire was self-administered by physicians to characterize therapeutic inertia. A multivariate logistic regression analysis highlighted the risk factors associated with UBP. Results UBP prevalence was 73% with a mean age of 61±11 years (mean±standard deviation) and a male/female ratio of 1/3. Risk factors associated with UBP were: therapeutic inertia (adjusted odds ratio to other variables (AOR) = 18.2, 95% CI [8.35–39.84]), drug non-adherence (AOR = 1.8, 95% CI [1.07–3.04]), obesity/overweight (AOR = 1.6, 95% CI [1.03–2.58]), unemployment (AOR = 1.9, 95% CI [1.09–3.01]), low income (AOR = 2.6, 95% CI [1.01–6.86]), family history of hypertension (AOR = 1.5, 95% CI [1.07–2.08]) and male sex (AOR = 1.6, 95% CI [1.04–2.58]). Conclusion UBP prevalence is high in Meknes. Prevention should firstly focus on raised awareness of hypertensive patients’ self-care management. Secondly, health professionals should better comply to the guidelines of anti-hypertensive treatments. Lastly, health professionals should frequently be reminded to reach therapeutic goals to overcome therapeutic inertia.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

Essayagh

Rhaffouli³

et al. 2019

PLoS ONE

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“…The white coat hypertension was observed in 13 patients (36.1%). In Brazzaville, 25% of patients with suspected hypertension had a normal blood pressure profile [13]. These results are consistent with data from the 2013 ESH / ESC recommendations [19], which indicate an average prevalence of white coat hypertension between 13 and 32%.…”

Section: Discussionsupporting

confidence: 88%

“…Of the 81 ABPMs, only 22 hypertensive patients were controlled, a rate of 27.20%. This rate is far from satisfactory in comparison with the reported level of control from Brazzaville [13] estimated at 35%. Our low control rate could be explained by the fact that only patients not controlled in the office had the prescription for ABPM.…”

Section: Discussioncontrasting

confidence: 70%

“…The extreme dippers patients were 5.70%. Indeed, Kario and Co have shown that these "extreme dippers" patients have advanced silent brain damage detected by MRI [13], and the JMS-ABPM study wave 1 also showed that elderly hypertensive patients and "extreme dippers "presented more cerebrovascular events [21]. In addition to the diagnostic and therapeutic evaluation role, ABPM also allows a prognostic evaluation.…”

Section: Discussionmentioning

confidence: 99%

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"Diagnosis and Evaluation of Hypertension Control in Dakar: Role of Ambulatory Blood Pressure Measurement"

Bodian

Akanni

Sarr

et al. 2020

ACR

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Introduction: Hypertension is a major public health problem in Sub-Saharan Africa. Current recommendations place particular emphasis on ambulatory measures compared to clinical ones for the diagnosis and monitoring of treated hypertensive patients. This is how we conducted this study which aims to assess the contribution of ambulatory blood pressure measurement (ABPM) in our practice. Materials and methods:This was a descriptive cross-sectional study carried out at the cardiology department of the Aristide Le Dantec teaching hospital over a period of twelve ( 12) months (January 1, to December 31, 2018). Results:We collected 122 patients during the study period, with a female predominance (M / F sex ratio = 0.69). The average age of the population was 53.22 ± 13.19 years.The indication for ABPM was a therapeutic evaluation in 81 patients (66.40%), with a diagnostic aim of hypertension for 41 patients (33.60%) including 5 cases of Pregnancy-induced hypertension. ABPMs were normal in 30% of cases. The nycthemeral average was 140 ± 18.66 for systolic blood pressure and 84.02 ± 14.56 for diastolic blood pressure. Among the abnormal measures, we noted 45.90% of dipper subjects, and 41% of non-dippers. In the therapeutic evaluation, hypertension was controlled in 22 patients (27.2%) and uncontrolled in 59 cases (72.80%). In the diagnostic indication, hypertension was confirmed in 23 cases (63.9%) and a white coat hypertension was found in 13 cases (36.1%). Pregnancy-induced hypertension was confirmed in 3 out of 5 patients (60%). Conclusion:This study showed the importance of ABPM as a diagnostic and therapeutic evaluation tool. Its rational use in our context would improve the care of hypertensive patients and thus prevent damage to target organs.

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Facteurs associés à un mauvais contrôle tensionnel chez les patients hypertendus marocains

Kardoudi

Chetoui

Kaoutar

et al. 2022

Annales de Cardiologie et d'Angéiologie

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Hypertension artérielle et niveau de contrôle à Brazzaville (Congo) : place du Holter tensionnel

Cited by 9 publications

References 19 publications

Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017

"Diagnosis and Evaluation of Hypertension Control in Dakar: Role of Ambulatory Blood Pressure Measurement"

Facteurs associés à un mauvais contrôle tensionnel chez les patients hypertendus marocains

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