Risk Factors of Hypertension among Cardiac Patients in Bangladesh- A Single Center Study
Published: 2023-11-06
Page: 393-400
Issue: 2023 - Volume 6 [Issue 1]
Md. Hasibul Hasan *
Department of Cardiology, Mugda Medical College Hospital, Dhaka, Bangladesh.
Md. Abdur Rashid
250 Bed General Hospital, Meherpur, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Background: Hypertension, commonly known as high blood pressure, is a pervasive health issue worldwide, and its prevalence is particularly concerning among cardiac patients in Bangladesh. Cardiovascular diseases are a leading cause of morbidity and mortality in the country, and hypertension is a well-established risk factor for these conditions.
Aim of the Study: The aim of the study was to assess the risk factors of hypertension among cardiac patients in Bangladesh.
Methods: This cross-sectional observational study took place at the Department of Cardiology, Mugda Medical College & Hospital, Dhaka, Bangladesh, from January 2022 to December 2022. A total of 180 cases of hypertension lasting more than a year enrolled in this study as study population. A purposive sampling method was applied, and data collection utilized a semi-structured, pre-designed questionnaire. MS Office tools SPSS version 23.0 were used for data analysis.
Results: Approximately 27% of participants had hypertension for less than 5 years, while 19% for 5 to 10 years, and 16% for 10 to 14 years. Remarkably, 28% managed hypertension for over 20 years. The most frequent risk factors were hyperlipidemia (34%), physical inactivity (24%), family history of hypertension (20%), obesity (19%), smoking (17%), and diabetes (12%).
Conclusion: Among the cardiac patients in Bangladesh, the most potential risk factors for hypertension are hyperlipidemia, physical inactivity, family history of hypertension, obesity, smoking, and diabetes.
Keywords: Risk factors, hypertension, cardiac patients, family history, physical activity
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References
Tanuseputro P, Manuel DG, Leung M, et al. Risk factors for cardiovascular disease in Canada. Canadian Journal of Cardiology. 2003;19(11):1249-59.
BeLue R, Okoror TA, Iwelunmor J, et al. An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective. Global Health. 2009; 5:10.
Whitworth JA; World Health Organization, International Society of Hypertension Writing Group. 2003 World Health Organization (WHO)/International Society of Hypertension (ISH) statement on management of hypertension. J Hypertens. 2003;21:1983-92.
Hemmelgarn BR, Chen G, Walker R, et al. Trends in antihypertensive drug prescriptions and physician visits in Canada between 1996 and 2006. Canadian Journal of Cardiology. 2008; 24(6):507-12.
Campbell NR, Tu K, Brant R, et al. The impact of the Canadian Hypertension Education Program on antihypertensive prescribing trends. Hypertension. 2006; 47(1):22-8.
Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003;289(16):2083-93.
Patnode CD, Evans CV, Senger CA, et al. Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2017;318(2):175-93.
Pazoki R, Dehghan A, Evangelou E, et al. Genetic Predisposition to High Blood Pressure and Lifestyle Factors: Associations with Midlife Blood Pressure Levels and Cardiovascular Events. Circulation. 2018; 137(7):653-61.
Jousilahti P, Laatikainen T, Peltonen M, et al. Primary prevention and risk factor reduction in coronary heart disease mortality among working-aged men and women in eastern Finland over 40 years: population-based observational study. BMJ. 2016; 352: i721.
Pennant M, Davenport C, Bayliss S, et al. Community programs for the prevention of cardiovascular disease: a systematic review. American Journal of Epidemiology. 2010; 172(5):501-16.
Statistics Canada. Population Trends by Age and Sex, 2016 Census of Population. Available:https://www150.statcan.gc.ca/n1/ pub/11-627-m/11-627-m2017016-eng.htm.
Public Health Agency of Canada. Tackling Obesity in Canada: Obesity and Excess Weight Rates in Canadian Adults. Available:https://www.canada.ca/en/public-health/ services/publications/healthy-living/ obesity-excess-weight-rates-canadian-adults. html.
Colley RC, Garriguet D, Janssen I, et al. Physical activity of Canadian adults: accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Reports. 2011;22 (1):7-14.
Garriguet D. Sodium consumption at all ages. Health Reports. 2007;18 (2):47-52.
Bacurau AGdM, Francisco PMSB. Reasons for non-vaccination against influenza among older adults with hypertension in Brazil: a cross-sectional study. Sao Paulo Med J. 2020;138:322–325.
Zinat Motlagh SF, Chaman R, Ghafari SR, et al. Knowledge, treatment, control, and risk factors for hypertension among adults in Southern Iran. Int J Hypertension. 2015;2015.
Hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217–223.
Das SK, Sanyal K, Basu A. Study of urban community survey in India: growing trend of high prevalence of hypertension in a developing country. International Journal of Medical Sciences. 2005;2(2):70 –78.
Vasan RS, Larson MG, Leip EP, Kannel WB, Levy D. Assessment of frequency of progression to hypertension in non-hypertensive participants in the Framingham Heart Study: a cohort study. The Lancet. 2001;358(9294):1682 –1686.
Ayele, Habtamu, Akalu Banbeta, and Abiyot Negash. "Cardiovascular disease risk factors in hypertensive patients: a case study of Jimma University Medical Center." Health Services Research and Managerial Epidemiology. 2022;9:23333928221078-601.
Parikh NI, Pencina MJ, Wang TJ, et al. A risk score for predicting near-term incidence of hypertension: The Framingham Heart Study. Annals of Internal Medicine. 2008;148(2):102-10.
Kivimaki M, Tabak AG, Batty GD, et al. Incremental predictive value of adding past blood pressure measurements to the Framingham hypertension risk equation: The Whitehall II Study. Hypertension. 2010; 55(4):1058-62.
Jonas JB, Nangia V, Matin A, Joshi PP, Ughade SN. Prevalence, awareness, control, and associations of arterial hypertension in a rural central India population: The Central India Eye and Medical Study. Am J Hypertens. 2010; 23(4):347–350.
Sakboonyarat B, Rangsin R, Kantiwong A, Mungthin M. Prevalence and associated factors of uncontrolled hypertension among hypertensive patients: a nationwide survey in Thailand. BMC Res Notes. 2019;12(1):1–8.
Corvol P, Jeunemaitre X, Charru A, Soubrier F. Can the genetic factors influence the treatment of systemic hypertension? The case of the renin-angiotensin-aldosterone system. Am J Cardiol. 1992;70(12): D14–D20.
Carmelli D, Robinette D, Fabsitz R. Concordance, discordance and prevalence of hypertension in World War II male veteran twins. J Hypertens. 1994;12(3): 323–328.
Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community-based cross-sectional study. BMC Cardiovasc Disord. 2012;12(1):1–6
Giday A, Tadesse B. Prevalence and determinants of hypertension in rural and urban areas of southern Ethiopia. Ethiop Med J. 2011;49(2):139–147.
Hamer M. The anti-hypertensive effects of exercise. Sports Med. 2006;36(2):109–116.
Kumar C, Sasi Sekhar T, Sahithi B. Hypertension–the silent killer, awareness of the risk factors and complications of hypertension among hypertensives. Int J Adv Res. 2006;4(6):1277–1281.
Kirkland SA, MacLean DR, Langille DB, Joffres MR, MacPherson KM, Andreou P. Knowledge and awareness of risk factors for cardiovascular disease among Canadians 55 to 74 years of age: results from the Canadian Heart Health Surveys, 1986-1992. CMAJ (Can Med Assoc J). 1999;161(8): S10.