Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients
Abstract Hypertension is a major modifiable risk factor for cardiovascular disease (CVD) which is a leading cause of death in developing countries affecting both genders. Gender dissimilarity in clinical characteristics and hypertension (HTN) management among hypertensive patients has been reported...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-06-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14231 |
| _version_ | 1827778927464022016 |
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| author | Amr Abdel Aal Ghada Youssef Amr El Faramawy Dalia El Remisy Heba El Deeb Wafaa El Aroussy M. Mohsen Ibrahim |
| author_facet | Amr Abdel Aal Ghada Youssef Amr El Faramawy Dalia El Remisy Heba El Deeb Wafaa El Aroussy M. Mohsen Ibrahim |
| author_sort | Amr Abdel Aal |
| collection | DOAJ |
| description | Abstract Hypertension is a major modifiable risk factor for cardiovascular disease (CVD) which is a leading cause of death in developing countries affecting both genders. Gender dissimilarity in clinical characteristics and hypertension (HTN) management among hypertensive patients has been reported in several reports before. The aim was to detect sex differences in clinical characteristics and HTN management among Egyptian hypertensive patients. Data from 4701 hypertensive patients attending 9 university located Specialized Hypertension clinic (SHC) were collected from October 2014 to September 2017. The collected data included demographics, cardiovascular risk profile, hypertension‐related history, anthropometric and blood pressure (BP) measurements, antihypertensive medications used, number of patients attending the follow‐up visits, and HTN control rate. Females represented 58.5% of the recruited patients, they were younger, with higher BMI, lower education level, and employment rate compared with males. Females had lower mean office systolic and diastolic BP than males (144.2 ± 22.6 vs. 146.5 ± 22.0 mmHg and 88.1 ± 13.0 vs. 89.9 ± 12.6 mmHg, respectively) and lower rate of uncontrolled BP (54.8% vs. 61.1% in males P < .001). Antihypertensive drugs were comparable among both sexes except for angiotensin converting enzyme inhibitors which were more prescribed in males. Compliance to antihypertensive medications was better in females (63.6% vs. 60.1% in males, P = .015). To conclude, Egyptian hypertensive females have different clinical characteristics as compared to their counterpart males with better BP control, adherence to antihypertensive medications, lower systolic and diastolic BP, and no major differences in the prescribed antihypertensive distribution. |
| first_indexed | 2024-03-11T14:42:58Z |
| format | Article |
| id | doaj.art-02d6743a240142c2ac03b55ffb0aa0d9 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:42:58Z |
| publishDate | 2021-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-02d6743a240142c2ac03b55ffb0aa0d92023-10-30T13:26:08ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-06-012361120112810.1111/jch.14231Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patientsAmr Abdel Aal0Ghada Youssef1Amr El Faramawy2Dalia El Remisy3Heba El Deeb4Wafaa El Aroussy5M. Mohsen Ibrahim6Faculty of Medicine Department of Cardiology Helwan University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptFaculty of Medicine Department of Cardiology Cairo University Cairo EgyptAbstract Hypertension is a major modifiable risk factor for cardiovascular disease (CVD) which is a leading cause of death in developing countries affecting both genders. Gender dissimilarity in clinical characteristics and hypertension (HTN) management among hypertensive patients has been reported in several reports before. The aim was to detect sex differences in clinical characteristics and HTN management among Egyptian hypertensive patients. Data from 4701 hypertensive patients attending 9 university located Specialized Hypertension clinic (SHC) were collected from October 2014 to September 2017. The collected data included demographics, cardiovascular risk profile, hypertension‐related history, anthropometric and blood pressure (BP) measurements, antihypertensive medications used, number of patients attending the follow‐up visits, and HTN control rate. Females represented 58.5% of the recruited patients, they were younger, with higher BMI, lower education level, and employment rate compared with males. Females had lower mean office systolic and diastolic BP than males (144.2 ± 22.6 vs. 146.5 ± 22.0 mmHg and 88.1 ± 13.0 vs. 89.9 ± 12.6 mmHg, respectively) and lower rate of uncontrolled BP (54.8% vs. 61.1% in males P < .001). Antihypertensive drugs were comparable among both sexes except for angiotensin converting enzyme inhibitors which were more prescribed in males. Compliance to antihypertensive medications was better in females (63.6% vs. 60.1% in males, P = .015). To conclude, Egyptian hypertensive females have different clinical characteristics as compared to their counterpart males with better BP control, adherence to antihypertensive medications, lower systolic and diastolic BP, and no major differences in the prescribed antihypertensive distribution.https://doi.org/10.1111/jch.14231Egypthypertensionsex‐related differenceswomen |
| spellingShingle | Amr Abdel Aal Ghada Youssef Amr El Faramawy Dalia El Remisy Heba El Deeb Wafaa El Aroussy M. Mohsen Ibrahim Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients The Journal of Clinical Hypertension Egypt hypertension sex‐related differences women |
| title | Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| title_full | Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| title_fullStr | Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| title_full_unstemmed | Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| title_short | Registry of the Egyptian specialized hypertension clinics: Sex‐related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| title_sort | registry of the egyptian specialized hypertension clinics sex related differences in clinical characteristics and hypertension management among low socioeconomic hypertensive patients |
| topic | Egypt hypertension sex‐related differences women |
| url | https://doi.org/10.1111/jch.14231 |
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