Evaluation of therapeutic control in a Pakistani population with hypertension

Journal of Evaluation in Clinical Practice
Danish SaleheenMuhammad Ishaq

Abstract

Cardiovascular diseases (CVD) are increasing at an alarming rate in South Asia. High blood pressure is a modifiable risk factor for CVD. In this study, we evaluated the control of blood pressure and the prevalence of cardiovascular risk factors in patients with hypertension. A cross-sectional study was conducted in 50 primary health care centres throughout Pakistan. Individuals with a documented history of hypertension, receiving pharmacological therapy, were enrolled and evaluated for the control of their blood pressure. The recommended therapeutic control of hypertension (systolic blood pressure <140 mmHg, diastolic blood pressure <90 mmHg) was seen in only 6.4% of the study participants. Values of both the mean systolic and diastolic blood pressures in all subjects were higher than the desired therapeutic levels (P<0.001). There was a high prevalence in the study population of established but modifiable risk factors of CVD, such as smoking (30.5%), hypercholesterolemia (59.5%) and sedentary lifestyle (43.5%). Lack of therapeutic control of systolic blood pressure was found significantly associated with age, hypercholesterolemia and sedentary lifestyle (P<0.05). Patients being treated at primary health care centres in Pakista...Continue Reading

References

Oct 18, 2002·Lancet·Sania Nishtar
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Jul 10, 2003·JAMA : the Journal of the American Medical Association·Ihab Hajjar, Theodore A Kotchen
Sep 17, 2004·Acta Cardiologica·Danish Saleheen, Philippe Frossard
Jan 18, 2005·Lancet·Patricia M KearneyJiang He
Oct 13, 2007·Arteriosclerosis, Thrombosis, and Vascular Biology·Naomi M HamburgJoseph A Vita

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Citations

Aug 5, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ayeesha K KamalDanish Saleheen

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