| Evaluation of therapeutic control in a Pakistani population with hypertension. | |
| | |
MedLine Citation:
|
PMID: 20629998 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
RATIONALE, AIMS AND OBJECTIVES: 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. METHOD: 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. RESULTS: 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). CONCLUSIONS: Patients being treated at primary health care centres in Pakistan have inadequate control of high blood pressure. Evidence-based continuous education of primary health care physicians is a necessary intervention for optimizing treatment strategies and achieving better therapeutic control of hypertension in our population. |
| | |
Authors:
|
Danish Saleheen; Saman K Hashmi; Moazzam Zaidi; Asif Rasheed; Muhammed Murtaza; Adil Abbas; Sana Nasim; Mustafa Qadir Hameed; Fahad Shuja; Muhammad Jawad Sethi; Imad Hussain; Kamran Shahid; Hamza Khalid; Usman Ahmad; Philippe M Frossard; Muhammad Ishaq |
Related Documents
:
|
9234838 - Detection of preclinical atherosclerosis may optimize the management of hypertension. 18326978 - Vascular compliance in the cardiometabolic syndrome. 6885958 - The impact of elevated blood pressure upon 10-year mortality among japanese men in hawa... 3359358 - Blood pressure in resistance-trained athletes. 9039128 - Intima-media thickness of the carotid artery in hypertensive subjects and hypertrophic ... 843138 - Cardiopulmonary effects of volume loading in patients in septic shock. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of evaluation in clinical practice Volume: 16 ISSN: 1365-2753 ISO Abbreviation: J Eval Clin Pract Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: England |
Other Details:
|
Languages: eng Pagination: 1081-4 Citation Subset: IM |
Copyright Information:
|
© 2010 Blackwell Publishing Ltd. |
Affiliation:
|
Center for Non-Communicable Diseases, Karachi, Pakistan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: 'Nothing is really safe': a focus group study on the processes of anonymizing and sharing of health ...
Next Document: Acute myocardial infarction--from territory to definitive treatment in an Italian province.