Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study.

Autor: Elbarbary M; Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta Egypt., Shoeib O; Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta Egypt., El-Saied SB; Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta Egypt., Atlm RM; Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta Egypt., Alkassas A; Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta Egypt.
Jazyk: angličtina
Zdroj: Health science reports [Health Sci Rep] 2023 Sep 11; Vol. 6 (9), pp. e1441. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023).
DOI: 10.1002/hsr2.1441
Abstrakt: Background and Aims: Hypertension (HTN) is a leading cause of morbidity and mortality affecting about 30%-40% of the adult population in developed countries. Fewer data were published about the prevalence, sociodemographics, and clinical characteristics of the resistant hypertensive population in Egypt. Hence, our aim is to focus the attention on these determinants especially in the delta region of Egypt.
Methods: Data belonging to patients visiting our HTN clinic in the Cardiovascular Department, Tanta University Hospital, Gharbeyah Governorate, Egypt, were collected over 12 months, between January 1, 2022, and 31 December 31, 2022, and then carefully analyzed.
Results: We found that the prevalence of resistant hypertension (RHTN) in the delta region of Egypt was 18%. We noted more RHTN cases in older age, that is, mean ± Std. was 51.5 ± 13.24 and 62.1 ± 7.56 for non-RHTN and RHTN, respectively. Also, the prevalence was higher in women representing about 54.4% of cases. Sixty-two percent of the patients with RH were obese (mean ± Std. of body mass index was 30.7 ± 5.36 in HTN and 47.7 ± 30.3 in RHTN groups with p value <0.001). We found a significant relationship between chronic kidney disease, diabetes, and RHTN.
Conclusion: Control of HTN among the Egyptian population in the delta region was unsatisfactory and higher than rates published globally. RH was more obvious in women, elderly, obese population, and diabetic and chronic kidney disease patients. Excessive use of nonsteroidal anti-inflammatory drugs, smoking, and high salt intake were clearly observed.
Competing Interests: The authors declare no conflict of interest.
(© 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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