Uncontrolled Hypertension In A Group Of Hypertensive Patients In Erbil

Abstract

Background: Hypertension is a powerful risk factor for fatal and non-fatal cardiovascular disease events, andmany randomized trials showed that hypertension control is associated with a decrease in incidence of stroke andcoronary heart disease.Objective: This study was carried out to identify the prevalence of, and factors associated with, uncontrolledhypertension in a group of hypertensive patients in Erbil.Patients and methods: A cross sectional study was carried out. A convenience sample of 400 hypertensivepatients attended outpatient clinics at Rizgary teaching hospital in Erbil city was included. This study wasextended from 1st April 2011 through 31st March 2012. The data were obtained by a direct interview with thepatients using a questionnaire a specially designed questionnaire. The statistical package for social sciences(SPSS, version 18.0) was used for data entry and analysis.Results: The prevalence of uncontrolled hypertension was (58.8%). The prevalence of uncontrolled hypertensionamong males hypertensive patients were 61.8%.and among females were 57.5%. The Logistic regressionsanalysis of uncontrolled hypertension showed a statistically significant association between uncontrolledhypertension with current smoker (OR=8.77), regularity of treatment (OR=0.296), exercise (OR= 0.414) and typeof antihypertensive drugs: diuretics (OR=11.938), ACEI (OR=7.907) beta blockers (OR=7.096), and CCB(OR=7.169).Conclusions: More than half of the hypertensive patients were uncontrolled. The factors associated withuncontrolled hypertension were smoking, lack of exercise, irregularity of treatment (non adherence to treatment).Recommendations: There is a need to stimulate researches and further studies, such as complete communitybasedcase ascertainment.