Introduction:Hypertension and atrial fibrillation are both very common and closely intertwined.There is limited data on this association in our setting,which motivated the present study.Objective:The aim of this study...Introduction:Hypertension and atrial fibrillation are both very common and closely intertwined.There is limited data on this association in our setting,which motivated the present study.Objective:The aim of this study was to investigate the epidemiological and clinical aspects of atrial fibrillation associ-ated with arterial hypertension in a hospital setting.Methods:This was a crosssectional and descriptive study conducted with retrospective recruitment in the cardiology department of the Gabriel TouréUniversity Hospital Center over a period from January 2015 to December 2018,spanning four years.It involved the analysis of records of patients hospitalized in the department.Results:Dur-ing the study period,52 patients were diagnosed with atrial fibrillation,of which 34 were hypertensive,yielding a proportion of AF associated with hypertension of 65.40%.Atrial fibrillation accounted for 4.39%of hospital admissions.The mean age of the patients was 66 years,with a standard deviation of 12 years,ranging from 30 to 87 years.The sample consisted of 25 women(74%)and 9 men(26%).More than half of the patients(58.82%)presented with elevated blood pressure at the time of admission.Heart failure(44.11%)with clinical signs of decompensation was the predominant finding at the time of discovery.Atrial fibrillation was associated with left ventricular hypertrophy in 14.71%of cases as seen in electrocardiograms.Among the 20 patients with elevated blood pressure,85%had received antihypertensive therapy(monotherapy 82.35%).Forty-seven percent(47%)of patients had received slowing treatment with di-goxin(41%)and beta blockers(18%).Only 44%of patients at high risk of thromboembolism were receiving oral anticoagulant therapy with a vitamin K antagonist.Conclusion:The association between atrial fibrillation and arterial hypertension is prevalent in our practice,particularly among women and the elderly.The clinical presentation was characterized by cardiac decompensation and elevated blood pressure.The majority of patients with poorly controlled hy-pertension were on antihypertensive monotherapy.Renin-angiotensin system blockers were the most commonly prescribed.Anticoagulant and anticoagulant therapy was initiated in less than half of our sample,despite the high risk of thromboembolism and high mean heart rate.展开更多
Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motiva...Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motivating the present study.Objective:The objective was to analyze the contribution of ambulatory blood pressure monitoring in screening and diagnosis of adults hypertension.Methods:This was a cross-sectional,descriptive study conducted at the Polyclinic“Alliance Medicale”between August 2022 and July 2025.It included all subjects aged 18 years or older,with no history of hypertension,who underwent ABPM.Results:Of the 289 ambulatory blood pressure monitoring(ABPM)sessions performed during the study period,104 were for treatment(36%)and 185 were for screening and diagnosis(64%).In the general population,the 30-44(40%)and 45-59(32%)age groups were the most represented,with a mean age of 45±14 years and a range of 19 to 95 years.Males predominated(52%),with a male-to-female ratio of 1.08.The indication was for screening in 55 patients(30%)and for a diagnosis of hypertension in 130 patients(70%).The mean 24/7 blood pressure was 131 mmHg for systolic blood pressure and 82 mmHg for diastolic blood pressure,with a mean heart rate of 81 bpm.The mean pulse pressure was 50 mmHg and was abnormal in 11%of patients.Ambulatory blood pressure monitoring(ABPM)confirmed the diagnosis of masked hypertension in 25%and white coat hypertension in 17%.The proportion of hypertension was 66%,both overall and for men and women,and increased with age.In those 60 and over,hypertension was more frequent in women than in men(92.3%vs.61.1%).The mean age of hypertensive patients was 47±13 years,with a male predominance and the most prevalent age groups being 30-44 years(40%)and 45-59 years(35%).A non-dipper profile was observed in 56%of hypertensive patients.Sixteen percent of hypertensive patients had a pulse pressure greater than or equal to 60 mmHg.Individuals aged 60 and over represented 60%of patients with abnormal pulse pressure and two-thirds of patients with isolated systolic hypertension.Conclusion:Hypertension is common,and its prevalence increases with age.Despite the availability of ambulatory blood pressure monitoring(ABPM),it is less frequently prescribed in daily practice.展开更多
Introduction:Hypertension is a major cause of disability and the leading risk factor for death worldwide.Objective:To study arterial hypertension in the in-ternal medicine department of the CHU du Point G.Methodology:...Introduction:Hypertension is a major cause of disability and the leading risk factor for death worldwide.Objective:To study arterial hypertension in the in-ternal medicine department of the CHU du Point G.Methodology:We carried out a cross-sectional,descriptive and analytical study with retrospective 5-year recruitment from January 01,2018 to December 31,2022 in the internal medi-cine department of the CHU du Point G.Inpatient records were reviewed.In-patients with de novo and old-onset hypertension were included during hospital follow-up.Results:During the course of the study,1632 patients were hospital-ized,321 of whom were hypertensive and included in the study,representing a hospitalization rate of 19.67%.The age range[60-70]represented 33.6%,with extremes of 18 and 92 years and a mean age of 61.43±12.52 years.The sex ratio was 0.69.They had a history of hypertension in 96.9%of cases,followed by dia-betes in 29.3%.Risk factors associated with hypertension were dominated by age(58.9%),diabetes(51.7%)and sedentary lifestyle(49.8%).Complications of hy-pertension were stroke 14.6%,obliterative arteriopathy of the lower limbs 12.8%;hypertensive heart disease 9.9%;coronary syndrome 4.7%;hypertensive reti-nopathy stage I and II 3%;and chronic renal failure 4.9%.High cardiovascular risk in 67%.Patients on dual antihypertensive therapy were better controlled than those on monotherapy,with no statistically significant difference(p=0.39).Conclusion:Hypertension is very often associated with other cardiovas-cular risk factors,including age and diabetes.It can have formidable complica-tions if not properly controlled.展开更多
文摘Introduction:Hypertension and atrial fibrillation are both very common and closely intertwined.There is limited data on this association in our setting,which motivated the present study.Objective:The aim of this study was to investigate the epidemiological and clinical aspects of atrial fibrillation associ-ated with arterial hypertension in a hospital setting.Methods:This was a crosssectional and descriptive study conducted with retrospective recruitment in the cardiology department of the Gabriel TouréUniversity Hospital Center over a period from January 2015 to December 2018,spanning four years.It involved the analysis of records of patients hospitalized in the department.Results:Dur-ing the study period,52 patients were diagnosed with atrial fibrillation,of which 34 were hypertensive,yielding a proportion of AF associated with hypertension of 65.40%.Atrial fibrillation accounted for 4.39%of hospital admissions.The mean age of the patients was 66 years,with a standard deviation of 12 years,ranging from 30 to 87 years.The sample consisted of 25 women(74%)and 9 men(26%).More than half of the patients(58.82%)presented with elevated blood pressure at the time of admission.Heart failure(44.11%)with clinical signs of decompensation was the predominant finding at the time of discovery.Atrial fibrillation was associated with left ventricular hypertrophy in 14.71%of cases as seen in electrocardiograms.Among the 20 patients with elevated blood pressure,85%had received antihypertensive therapy(monotherapy 82.35%).Forty-seven percent(47%)of patients had received slowing treatment with di-goxin(41%)and beta blockers(18%).Only 44%of patients at high risk of thromboembolism were receiving oral anticoagulant therapy with a vitamin K antagonist.Conclusion:The association between atrial fibrillation and arterial hypertension is prevalent in our practice,particularly among women and the elderly.The clinical presentation was characterized by cardiac decompensation and elevated blood pressure.The majority of patients with poorly controlled hy-pertension were on antihypertensive monotherapy.Renin-angiotensin system blockers were the most commonly prescribed.Anticoagulant and anticoagulant therapy was initiated in less than half of our sample,despite the high risk of thromboembolism and high mean heart rate.
文摘Background:ABPM is a blood pressure measurement performed outside of a doctor’s office using a fully automated device,mostly over a 24-hour period.There is limited data on ABPM in the private healthcare sector,motivating the present study.Objective:The objective was to analyze the contribution of ambulatory blood pressure monitoring in screening and diagnosis of adults hypertension.Methods:This was a cross-sectional,descriptive study conducted at the Polyclinic“Alliance Medicale”between August 2022 and July 2025.It included all subjects aged 18 years or older,with no history of hypertension,who underwent ABPM.Results:Of the 289 ambulatory blood pressure monitoring(ABPM)sessions performed during the study period,104 were for treatment(36%)and 185 were for screening and diagnosis(64%).In the general population,the 30-44(40%)and 45-59(32%)age groups were the most represented,with a mean age of 45±14 years and a range of 19 to 95 years.Males predominated(52%),with a male-to-female ratio of 1.08.The indication was for screening in 55 patients(30%)and for a diagnosis of hypertension in 130 patients(70%).The mean 24/7 blood pressure was 131 mmHg for systolic blood pressure and 82 mmHg for diastolic blood pressure,with a mean heart rate of 81 bpm.The mean pulse pressure was 50 mmHg and was abnormal in 11%of patients.Ambulatory blood pressure monitoring(ABPM)confirmed the diagnosis of masked hypertension in 25%and white coat hypertension in 17%.The proportion of hypertension was 66%,both overall and for men and women,and increased with age.In those 60 and over,hypertension was more frequent in women than in men(92.3%vs.61.1%).The mean age of hypertensive patients was 47±13 years,with a male predominance and the most prevalent age groups being 30-44 years(40%)and 45-59 years(35%).A non-dipper profile was observed in 56%of hypertensive patients.Sixteen percent of hypertensive patients had a pulse pressure greater than or equal to 60 mmHg.Individuals aged 60 and over represented 60%of patients with abnormal pulse pressure and two-thirds of patients with isolated systolic hypertension.Conclusion:Hypertension is common,and its prevalence increases with age.Despite the availability of ambulatory blood pressure monitoring(ABPM),it is less frequently prescribed in daily practice.
文摘Introduction:Hypertension is a major cause of disability and the leading risk factor for death worldwide.Objective:To study arterial hypertension in the in-ternal medicine department of the CHU du Point G.Methodology:We carried out a cross-sectional,descriptive and analytical study with retrospective 5-year recruitment from January 01,2018 to December 31,2022 in the internal medi-cine department of the CHU du Point G.Inpatient records were reviewed.In-patients with de novo and old-onset hypertension were included during hospital follow-up.Results:During the course of the study,1632 patients were hospital-ized,321 of whom were hypertensive and included in the study,representing a hospitalization rate of 19.67%.The age range[60-70]represented 33.6%,with extremes of 18 and 92 years and a mean age of 61.43±12.52 years.The sex ratio was 0.69.They had a history of hypertension in 96.9%of cases,followed by dia-betes in 29.3%.Risk factors associated with hypertension were dominated by age(58.9%),diabetes(51.7%)and sedentary lifestyle(49.8%).Complications of hy-pertension were stroke 14.6%,obliterative arteriopathy of the lower limbs 12.8%;hypertensive heart disease 9.9%;coronary syndrome 4.7%;hypertensive reti-nopathy stage I and II 3%;and chronic renal failure 4.9%.High cardiovascular risk in 67%.Patients on dual antihypertensive therapy were better controlled than those on monotherapy,with no statistically significant difference(p=0.39).Conclusion:Hypertension is very often associated with other cardiovas-cular risk factors,including age and diabetes.It can have formidable complica-tions if not properly controlled.
