Blood Pressure Control Status of Hypertensive Patients Attending an Out-Patient Specialist Clinic in Ghana
Acheamfour-Akowuah Emmanuel, Directorate of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Owusu Isaac Kofi, Department of Medicine, School of Medical Sciences, College of Health Sciences, Kwame, Nkrumah University of Science and Technology, Kumasi, Ghana; Directorate of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Nkum Bernard C., Department of Medicine, School of Medical Sciences, College of Health Sciences, Kwame, Nkrumah University of Science and Technology, Kumasi, Ghana; Directorate of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Hypertension is a major cardiovascular disease risk factor, yet with availability of innovative and effective medical therapy its control is still a huge challenge in sub-Saharan Africa including Ghana. We undertook a cross-sectional study among hypertensive patients attending an out-patient specialist clinic in a semi-urban community in Ghana to determine blood pressure control rate and characterize antihypertensive medication use among the patients. Three hundred and fifty four (354) hypertensive patients aged between 23 - 79 years with the mean age (± SD) of 46.9 (± 12.1) years were studied. The mean duration of hypertension was 5.5 years (range 1 month to 45 years). Two hundred and sixteen (61.02%) of the patients were prescribed one antihypertensive, 53(14.97%) were prescribed two antihypertensives and 3 (0.85%) were prescribed three antihypertensives; with antihypertensive class being calcium channel blockers in 76.2% of the patients, beta-blockers in 11.4% of the patients, centrally acting agents in 6.9 % of the patients, and angiotensin-converting enzyme (ACE) inhibitors in 3.0% of the patients. The commonest calcium channel blocker, ACE inhibitor and beta-blocker prescribed were nifedipine, lisinopril, and atenolol respectively. One hundred and thirty-eight (39.0%) patients had adequate blood pressure control. Among patients with poor blood pressure control, 74 (34.3%) had blood pressure >160/l00mmHg (hypertension stage II). In conclusion, our study shows that majority of the hypertensive patients studied had poorly controlled blood pressure which indicates a higher future burden of cardiovascular diseases.
Hypertension, Blood Pressure, Control Rate, Antihypertensive, Ghana
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