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Contribution of Ambulatory Blood Pressure Monitoring to the Management of Arterial Hypertension at Blaise CompaoréUniversity Hospital

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World Journal of Cardiovascular Diseases 2017年第12期7卷 442-450页

作者： Yibar Kambiré Georges Kinda Georges R.C. Milllogo lassina konaté Issa Diallo K. Jonas Kologo Jean-Baptiste Tougouma Germain D. Mandi R. Aristide Yaméogo Salifou Yaogo Caleb Tindano André K. Samadoulougou Patrice Zabsonré Department of Medicine and Medical Specialties Blaise COMPAORE University Hospital Ouagadougou Burkina Faso Department of Health Sciences University of Ouagadougou Ouagadougou Burkina Faso Cardiology Department Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso Cardiology Department Souro Sanou University Hospital Bobo-Dioulasso Burkina Faso

Background: Hypertension is a major public health concern in Burkina Faso. Its management relies on in-office medical setting blood pressure monitoring which is known to be an imperfect diagnosis tool. Objective: This study aims to assess the contribution of ambulatory blood pressure monitoring in the management of hypertension at Blaise Compaoré University Hospital. Methods: A monocentric descriptive retrospective study was conducted in the cardiology outpatient unit of Blaise Compaoré University Hospital. Patients aged at least 18 years who underwent ambulatory blood pressure monitoring between March 2013 and June 2015 were enrolled. Hypertension was defined as follows: average blood pressure over 24 hours > 130/80 mmHg, or diurnal blood pressure > 135/85 mmHg, or nocturnal blood pressure >120/70 mmHg. Data were analyzed using the SPSS 20.0 software. The threshold for significance was set at 5% for a validity interval at 95%. Chi square test was used for?the statistical analysis. Results: A total of 122 patients were enrolled. The main reasons for ambulatory monitoring were the evaluation of hypertensive therapy (51.6%) and the diagnosis confirmation (39.3%). The results of the ambulatory monitoring found 61.4% of the patients with hypertension and 37.7% with normal blood pressure. A treatment adjustment was made for 36.1% of the patients;an initiation of antihypertensive therapy was undertaken for 24.6%, an abstention from drug therapy was recommended?for 23.8%,?and the pursuit of previous treatment for 13.1% of the patients. Conclusion: Ambulatory blood pressure monitoring should be used more often in order to optimize the management of hypertension in our current practice.

关键词： Hypertension Diagnosis Treatment Ambulatory Monitoring Africa

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