S O Ike1. 1. Department of Medicine, University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria. sobiajuluike@yahoo.com
Abstract
BACKGROUND: To evaluate the prevalence pattern of hypertension and its complications among medical admissions and compare the findings with those of a previous study conducted at the University of Nigeria Teaching Hospital, Enugu. METHOD: A review of all the admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu, between December 1998 and November 2003, was done. RESULTS: Of the 7399 patients admitted during the period, 1360 (18.4%) had hypertension related diseases. These were 798 (58.7%) males and 562 (41.3%) females, giving a male: female ratio of 1.4:1. There was a progressive increase in the age-specific prevalence of hypertension cases with advancing age, but presenting with only 6 (0.4%) patients in the over 90 years age group. Hypertensive congestive heart failure accounted for 26.5% of the cases and 46.1% of the hypertensive complications. Myocardial infarction was documented in 7 patients. Hypertension with its complications, contributed more than two thirds (69.6%) of the cardiovascular system admissions. CONCLUSION: The prevalence of hypertension, with its complications, is increasing, when compared with a previous study. This calls for a multifaceted approach aimed at ensuring the achievement of better blood pressure control, so as to obviate the attendant complications.
BACKGROUND: To evaluate the prevalence pattern of hypertension and its complications among medical admissions and compare the findings with those of a previous study conducted at the University of Nigeria Teaching Hospital, Enugu. METHOD: A review of all the admissions into the medical wards of the University of Nigeria Teaching Hospital, Enugu, between December 1998 and November 2003, was done. RESULTS: Of the 7399 patients admitted during the period, 1360 (18.4%) had hypertension related diseases. These were 798 (58.7%) males and 562 (41.3%) females, giving a male: female ratio of 1.4:1. There was a progressive increase in the age-specific prevalence of hypertension cases with advancing age, but presenting with only 6 (0.4%) patients in the over 90 years age group. Hypertensive congestive heart failure accounted for 26.5% of the cases and 46.1% of the hypertensive complications. Myocardial infarction was documented in 7 patients. Hypertension with its complications, contributed more than two thirds (69.6%) of the cardiovascular system admissions. CONCLUSION: The prevalence of hypertension, with its complications, is increasing, when compared with a previous study. This calls for a multifaceted approach aimed at ensuring the achievement of better blood pressure control, so as to obviate the attendant complications.
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