Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study
Abstract 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 populati...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-09-01
|
| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.1441 |
| _version_ | 1797672488128217088 |
|---|---|
| author | Mohammed Elbarbary Osama Shoeib Shaimaa B. El‐saied Ramy M. Atlm Amr Alkassas |
| author_facet | Mohammed Elbarbary Osama Shoeib Shaimaa B. El‐saied Ramy M. Atlm Amr Alkassas |
| author_sort | Mohammed Elbarbary |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-11T21:30:47Z |
| format | Article |
| id | doaj.art-63230cf8845e4006a102633429290e06 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-11T21:30:47Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-63230cf8845e4006a102633429290e062023-09-27T09:16:35ZengWileyHealth Science Reports2398-88352023-09-0169n/an/a10.1002/hsr2.1441Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational studyMohammed Elbarbary0Osama Shoeib1Shaimaa B. El‐saied2Ramy M. Atlm3Amr Alkassas4Department of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta EgyptDepartment of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta EgyptDepartment of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta EgyptDepartment of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta EgyptDepartment of Cardiovascular Medicine, Faculty of Medicine Tanta University Tanta EgyptAbstract 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.https://doi.org/10.1002/hsr2.1441cardiologychronic diseasesepidemiologypublic health |
| spellingShingle | Mohammed Elbarbary Osama Shoeib Shaimaa B. El‐saied Ramy M. Atlm Amr Alkassas Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study Health Science Reports cardiology chronic diseases epidemiology public health |
| title | Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study |
| title_full | Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study |
| title_fullStr | Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study |
| title_full_unstemmed | Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study |
| title_short | Prevalence and determinants of resistant hypertension in the delta region of Egypt: A prospective observational study |
| title_sort | prevalence and determinants of resistant hypertension in the delta region of egypt a prospective observational study |
| topic | cardiology chronic diseases epidemiology public health |
| url | https://doi.org/10.1002/hsr2.1441 |
| work_keys_str_mv | AT mohammedelbarbary prevalenceanddeterminantsofresistanthypertensioninthedeltaregionofegyptaprospectiveobservationalstudy AT osamashoeib prevalenceanddeterminantsofresistanthypertensioninthedeltaregionofegyptaprospectiveobservationalstudy AT shaimaabelsaied prevalenceanddeterminantsofresistanthypertensioninthedeltaregionofegyptaprospectiveobservationalstudy AT ramymatlm prevalenceanddeterminantsofresistanthypertensioninthedeltaregionofegyptaprospectiveobservationalstudy AT amralkassas prevalenceanddeterminantsofresistanthypertensioninthedeltaregionofegyptaprospectiveobservationalstudy |