Hypertension Management and Factors Associated with Blood Pressure Control in Jordanian Patients Attending Cardiology Clinic

Bulatova, Nailya; Yousef, Al-Motassem; AbuRuz, Salah; Farha, Rana Abu

doi:10.4314/tjpr.v12i5.25

Cited by 9 publications

(20 citation statements)

References 22 publications

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“…In Jordanian hypertensives, of all studied clinical traits and administered medications, which were subjected to multivariate logistic regression analysis, only the presence of diabetes mellitus was found to be inversely associated with BP control [16]. In contrast, control rates in Canadian study did not differ among overall hypertensive population and those with comorbidity [22].…”

Section: Discussionmentioning

confidence: 75%

“…Notably, the earlier American study conducted at 20 primary care practices in 14 states showed that BP was controlled in 49.8% of all hypertensive patients with wide variability among the practices (25.5-66.6%) [15]. Hypertension was controlled in 44% of Jordanian patients attending outpatient cardiology clinics [16]. In Sweden, BP < 140/90 mm Hg was reported in 27% of 21167 hypertensives over 30 years old who have visited primary health-care centers [17].…”

Section: Discussionmentioning

confidence: 98%

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Clinical Factors Affecting the Goal Blood Pressure in Hypertensive Patients of a Rural Polyclinic in Russia

Posnenkova¹,

Gerasimov²,

Popova³

et al. 2017

TOHYPERJ

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Background:Primary care units in rural areas of the Russian Federation experience difficulties in long-term follow-up of chronic cardiovascular diseases, such as hypertension. Identification of outpatient clinical traits affecting the goal blood pressure (BP) may optimize the choice of treatment pathways.Objective:To identify the patient-related factors affecting the achievement of the goal BP in the course of hypertension treatment at a rural polyclinic.Methods:We analyzed the data on 182 patients with essential hypertension (64.6 ± 11.3 yo; 48.5% men), who were treated in polyclinic settings of a rural settlement in the Saratov Region of the Russian Federation. Outpatient medical records were used as a source of clinical data. Repeat patients with hypertension diagnosis specified in their medical records, visiting a therapeutist or cardiologist on two randomly selected workdays, were enrolled in our study. The first appointment took place during 1-31 July, 2015 (n = 88), while the second visit occurred on 1- 31 July, 2016 (n = 94). Eleven district therapeutists, two general practitioners and the only cardiologist of the polyclinic participated in the study. Discriminant function analysis was used to identify factors affecting the achievement of the goal blood pressure in the patients. Basic demographic and anamnesis data, risk factors, medical treatment type and lifestyle modification measures, if any, which exhibited statistical significance in univariate analysis (p<0.05), were selected for multi-factor discriminant analysis.Results:The goal BP was achieved in 93 patients (51%). The patients with the goal BP differed from those with uncontrolled hypertension in various ways. They were less often women (53.8% vs. 69.7%, p = 0.028), more frequently had prior myocardial infarction (22.6% vs. 10.1%, p = 0.024), more rarely suffered from other forms of stable CAD (55.9% vs. 73%, p = 0.016), as well as took fewer thiazide-like diuretics (9.7% vs 21.3%, p = 0.03). It is worth noting that fewer antihypertensive medications were prescribed to the patients with the goal BP as opposed to those with poor BP control (1.63 ± 0.12 vs. 1.98 ± 0.11, p = 0.018).Resulting discriminant model exhibited high predictive power. The ratio of odds for the model was 5.4 (95% CI: 2.7-10.7), р<0.001. The single factor correlating significantly with the achievement of the goal BP was preceding myocardial infarction (OR 2.6, 95% CI: 1.1 - 6.6, р=0.032), while prescription of two or more antihypertension drugs was associated with poor BP control (OR 0.4, 95% CI: 0.2 - 0.7, р=0.003).Conclusion:In the hypertensive patients with a history of myocardial infarction versus those without it, treated at a rural polyclinic, BP was more likely to be controlled. Administration of multiple antihypertensive drugs was associated with poor BP control.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 98%

Clinical Factors Affecting the Goal Blood Pressure in Hypertensive Patients of a Rural Polyclinic in Russia

Posnenkova¹,

Gerasimov²,

Popova³

et al. 2017

TOHYPERJ

View full text Add to dashboard Cite

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“…Moreover, it ensures the focus is on body weight, physical activity, and salt intake as modifying factors informing hypertension. This might reduce the high risk factors relevant to noncommunicable diseases in Jordan (e.g., smoking, obesity, and lack of physical activity) (3,13,14). Meanwhile, this study indicates the importance of proper management and rational selection of antihypertensive drug therapy, in order to improve the overall health of the Jordanian population.…”

Section: Discussionmentioning

confidence: 99%

A descriptive study of adherence to lifestyle modificationfactors among hypertensive patients

et al. 2017

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Background/aim: Healthy life style recommendations (e.g., physical activity, healthy diet, and decreased cholesterol levels) play an important role in controlling blood pressure (BP). This study aimed to assess lifestyle modification factors among patients diagnosed with hypertension. Materials and methods:A descriptive-survey design was used. Data were collected using four questionnaires; one was the Beliefs about Medication questionnaire (BMQ) and the rest were developed to collect data about demographic and clinical characteristics and lifestyle modification factors.Results: In total 312 questionnaires were completed. The results revealed that our participants did not follow the healthy lifestyle recommendations; for example, the mean blood sugar (BS) level, body mass index (BMI), and cholesterol levels were 155 mg/dL (standard deviation (SD) = 71.9), 29 kg/m2 (SD = 5.4), and 197 mg/dL (SD = 86.6), respectively. A significant correlation was shown between age and BP (P = 0.000). Increase in diastolic BP (DBP) correlated with a significant increase in cholesterol level (P = 0.002) and BMI (P = 0.006). Conclusion:Our study showed that somewhat hypertensive patients in Jordan did not follow a healthy lifestyle. Therefore, urgent action by addressing behavioral risk factors has a positive impact on preventing and controlling hypertension.

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“…This is in agreement with studies conducted in Ethiopia (25.6%) [ 11 ] and Cameroon (24.6%) [ 14 ]. On the other hand, studies conducted in Australia [ 15 ], Jordan [ 16 ] and USA [ 17 ] reported higher BP control. In this study, 42.7% and 40% of the participants reached target SBP and DBP, respectively.…”

Section: Main Textmentioning

confidence: 99%

Assessment of hypertension control and factors associated with the control among hypertensive patients attending at Zewditu Memorial Hospital: a cross sectional study

2019

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ObjectiveThis study was conducted to assess hypertension control and factors associated with it among hypertensive patients on treatment at Zewditu Memorial Hospital.ResultsA total of 225 patients were included in the study, of which 55.6% of patients were females. The mean age of the patients was 55.2 years and half of them had a family history of hypertension. About 29% of patients had comorbidities. Angiotensin-converting enzyme inhibitors (ACEIs), calcium channel blockers (CCBs) and beta-blockers (BBs) were the most frequently prescribed medications. Majority of (83.1%) the patients received combination therapy. The most frequent two and three drugs class combination were ACEI + BB and ACEIs + CCB + BB, respectively. Drug treatment was modified for 22.2% of patients and blood pressure (BP) was controlled in 26.2% of patients. Older age was associated with good BP control (AOR 2.58, CI 1.27–5.24), while treatment modification was associated with poor BP control (AOR 0.21, CI 0.07–0.65). The findings indicate that BP control was low and factors like middle age and treatment modification contributed to the low BP control. It is recommended that the physicians should be adherent to current guidelines regarding the selection of appropriate antihypertensive medications so as to achieve target BP goals.Electronic supplementary materialThe online version of this article (10.1186/s13104-019-4173-8) contains supplementary material, which is available to authorized users.

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Hypertension Management and Factors Associated with Blood Pressure Control in Jordanian Patients Attending Cardiology Clinic

Cited by 9 publications

References 22 publications

Clinical Factors Affecting the Goal Blood Pressure in Hypertensive Patients of a Rural Polyclinic in Russia

Clinical Factors Affecting the Goal Blood Pressure in Hypertensive Patients of a Rural Polyclinic in Russia

A descriptive study of adherence to lifestyle modificationfactors among hypertensive patients

Assessment of hypertension control and factors associated with the control among hypertensive patients attending at Zewditu Memorial Hospital: a cross sectional study

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