Diagnosis and Evaluation of Hypertension Control in Dakar: Role of Ambulatory Blood Pressure Measurement Volume 2 - Issue 5

Fatou Aw Leye ¹*, Bodian M¹, Akanni S¹, Bathily C Sarr SA¹, Mingou JS¹, Affangla A⁴, Diouf MT¹, Ndiaye M Diop CMBM¹, Ndiaye PN¹, Balde DW¹, Ngaïdé AA², Dioum M³, Leye M⁴, Ndiaye M B¹, Mbaye A³, Kane Ad⁵, Kane A⁶, Diao M¹ and Serigne Abdou BA¹

• ¹Cardiology Department, Teaching Hospital Aristide Le Dantec, Senegal
• ²Cardiology Department, General Hospital of Grand Yoff, Senegal
• ³Cardiology Department, National Teaching Hospital of Fann, Senegal
• ⁴Training and research unit of Thies, Sénégal
• ⁵Cardiology Department of regional hospital of Saint Louis, Senegal
• ⁶Cardiology Department of Dalal Jamm hospital, Dakar Senegal

Received: January 16, 2020;   Published: January 24, 2020

Corresponding author: Fatou Aw Leye, Cardiology service of the Aristide Le Dantec University Hospital Center, PO Box 6003 Dakar Etoile, Senegal

DOI: 10.32474/ACR.2020.02.000148

 

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Abstract

Introduction: Hypertension is a major public health problem in Sub-Saharan Africa. Current recommendations place particular emphasis on ambulatory measures compared to clinical ones for the diagnosis and monitoring of treated hypertensive patients. This is how we conducted this study which aims to assess the contribution of ambulatory blood pressure measurement (ABPM) in our practice.

Materials and methods: This was a descriptive cross-sectional study carried out at the cardiology department of the Aristide Le Dantec teaching hospital over a period of twelve (12) months (January 1, to December 31, 2018).

Results: We collected 122 patients during the study period, with a female predominance (M / F sex ratio = 0.69). The average age of the population was 53.22 ± 13.19 years.

The indication for ABPM was a therapeutic evaluation in 81 patients (66.40%), with a diagnostic aim of hypertension for 41 patients (33.60%) including 5 cases of Pregnancy-induced hypertension. ABPMs were normal in 30% of cases. The nycthemeral average was 140 ± 18.66 for systolic blood pressure and 84.02 ± 14.56 for diastolic blood pressure. Among the abnormal measures, we noted 45.90% of dipper subjects, and 41% of non-dippers. In the therapeutic evaluation, hypertension was controlled in 22 patients (27.2%) and uncontrolled in 59 cases (72.80%). In the diagnostic indication, hypertension was confirmed in 23 cases (63.9%) and a white coat hypertension was found in 13 cases (36.1%). Pregnancy-induced hypertension was confirmed in 3 out of 5 patients (60%).

Conclusion: This study showed the importance of ABPM as a diagnostic and therapeutic evaluation tool. Its rational use in our context would improve the care of hypertensive patients and thus prevent damage to target organs.

Keywords: Hypertension; ABPM; blood pressure control

Abstract| Introduction| Patients and Methods| Results| Discussion| Conclusion| References|