[PP.19.17] MANAGEMENT OF RESISTANT HYPERTENSION IN A HYPERTENSIVE POPULATION IN THE SOUTH EAST OF TUNISIA

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Abstract

Objective:

Among hypertensive subjects, from 10 to 15% do not achieve an adequate blood pressure (BP) control despite the continuously concomitant use of greater than or equal to 3 anti-hypertensive medications including a diuretic. This group, designated as having resistant hypertension (RH) is receiving growing attention and represents one of the most important clinical challenges in hypertension evaluation and management. In the absence of Tunisian study we chose to determine how his hypertensive population category is managed in the region of the southeast of Tunisia.

Design and method:

Adults with hypertension were identified from the Cardiology Department of Gabes. Medical records of 109 RH patients were reviewed between November (2014) and February (2015). Throw this transactional descriptive study, we aimed to determine the characteristics of this group of hypertensive patients.

Results:

These participants were more likely to be aged (61.5%), female (62.4%), obese (33%), diabetic (53.2%), and with renal function impairment (35.8%).

Results:

Clinical BP values amounted to 146.4 ± 27.3/81.7 ± 13.6 mmHg despite the daily use of 3.7 ± 0.7 drugs and a medication adherence rate of 87.3%. BP goals were reached in 62.4% of the patients.

Results:

Calcium antagonists were used in 56% of the patients. Beta-blockers were used in 74.3% of the patients and angiotensin II receptor blockers were prescribed only for 73% of the participants.

Conclusions:

Our findings confirm the association of this condition with female gender, advanced age, obesity, diabetes, and renal failure. A more medical management and a high rate of medication adherence helped to reach BP goals.

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