Study of Uncontrolled Hypertensive Patients At Sohag University Hospital

Document Type : Original Article

Authors

1 Department of Internal medicine, Sohag Faculty of Medicine, Sohag University

2 Department of Internal Medicine Faculty of Medicine, Sohag University

3 Department of Internal Medicine, Faculty of Medicine, Sohag University

Abstract

Introduction: Hypertension (HTN) is universally accepted as one of the most important risk factors in the development of cardiovascular disease (CVD), stroke and renal disease. There has been a considerable increase in the prevalence of HTN in the Middle East during the last few years. In some Arab countries HTN has become a major health problem. This drastic increase in incidence of HTN is specifically caused by a combination of many parameters, including family history, change in lifestyle, dietary habits and environmental factors.
Aim of the work: Investigate the frequency of uncontrolled HTN in sohag university hospital and determine the risk factors that may be responsible for the the poor control in the study participants.
Patients and Methods: Cross sectional study, included group of 500 hypertensive patients selected randomly from referral clinics in the Sohag university hospitals.
Results: Uncontrolled hypertension is a major health problem and accounts for a large percentage of total hypertensive patients.
Conclusion: Improving the awareness of hypertension, its control and causes and management of uncontrolled hypertension are major issues for the management of uncontrolled hypertension.

Keywords


1.  Calhoun DA, Booth JN, 3rd, Oparil S, Irvin MR, Shimbo D, Lackland DT, et al. Refractory hyper-tension: determination of prevalence, risk factors, and comorbidities in a large, population-based cohort. Hypertension. 2014;63(3):451-8
2.  Judd E, Calhoun DA. Apparent and true resistant hypertension: definition, prevalence and outcomes. Journal of human hypertension. 2014;28(8):463-8.
3.  Achelrod D, Wenzel U, Frey S. Systematic review and meta-analysis of the prevalence of resistant hypertension in treated hypertensive populations. American journal of hypertension. 2015;28(3):355-6
4.  Brambilla G, Bombelli M, Seravalle G, Cifkova R, Laurent S, Narkiewicz K, et al. Prevalence and clinical characteristics of patients with true resistant hypertension in central and Eastern Europe: data from the BP-CARE study. Journal of hypertension. 2013;31(10):2018-24.
5.  Prejbisz A, Klocek M, Gasowski J, Topor-Madry R, Lesniak W, Kabat M, et al. Factors associated with resistant hypertension in a large cohort of hypertensive patients: the Pol-Fokus study. Polskie Archiwum Medycyny Wewnetrznej. 2015; 125(4): 249-59.
6.  Hung CY, Wang KY, Wu TJ, Hsieh YC, Huang JL, Loh el W, et al. Resistant hypertension, patient characteristics, and risk of stroke. PloS one. 2014;9(8):e104362.