Aspects épidémiologique, clinique et thérapeutique de l’hypertension artérielle de l’adulte jeune à l’institut de cardiologie d’Abidjan

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2026-06-01 Epub Date: 2026-05-26 DOI:10.1016/j.ancard.2026.102022

B. Boka, A.H. Djoma, N. Ateba, M. Tano, J. Oné, A. Yéo, B. Agbikossi, J. Boka, H. Yao, J.B. Anzouan-Kacou

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引用次数: 0

Abstract

Introduction

Hypertension in young adults has become a health problem due to its increasing prevalence.

Objective

To describe the epidemiological, clinical, and therapeutic aspects of hypertension in young adults in Côte d’Ivoire.

Patients and methods

This was a retrospective and analytical study over a 3-year period from 2016 to 2018 conducted at the Abidjan Heart Institute (ICA). We used data from the medical records of hypertension patients aged 18 to 39 years with a minimum of six months of outpatient follow-up. Data were analyzed using Stata 12.0 software.

Results

We included 95 patients aged 18 to 39 years. The mean age was 34.6 ± 4.2 years. The M/F sex ratio was 0.98. Hypertension was predominantly systolic-diastolic (83.1%) and grade III (42.1%). Its severity at the first consultation was significantly reduced by prior treatment (P = 0.015). The mean duration of hypertension was 1.7 ± 2.4 years. Cardiac involvement was present at the start of follow-up: left ventricular hypertension (44.2%) and CV risk was high (53.7%). Hypotensive treatment was initiated with dual therapy (61.1%) combining RAAS blockers (87.4%) and calcium channel blockers (57.9%). We found that self-measurement at home significantly improved blood pressure control (P = 0.0087).

Conclusion

This study calls for strengthening screening and management policies for hypertension in young adults in our context.

查看原文本刊更多论文

[阿比让心脏研究所年轻人动脉高血压的流行病学、临床和治疗方面]。

导读：青年人高血压的发病率越来越高，已成为一个健康问题。目的：描述Côte科特迪瓦年轻人高血压的流行病学、临床和治疗方面。患者和方法：这是一项2016年至2018年在阿比让心脏研究所（ICA）进行的为期3年的回顾性分析研究。我们使用的数据来自18至39岁高血压患者的医疗记录，门诊随访时间至少为6个月。数据分析采用Stata 12.0软件。结果：纳入95例患者，年龄18 ~ 39岁。平均年龄34.6±4.2岁。男女性别比为0.98。高血压主要是收缩期-舒张期（83.1%）和III级（42.1%）。首次就诊时的严重程度经既往治疗显著降低（P=0.015）。高血压的平均病程为1.7±2.4年。随访开始时存在心脏受累：左室高血压（44.2%）和CV风险高（53.7%）。降压治疗开始于RAAS阻滞剂（87.4%）和钙通道阻滞剂（57.9%）的双重治疗（61.1%）。我们发现在家自我测量显著改善血压控制（P=0.0087）。结论：本研究呼吁在我们的背景下加强年轻人高血压的筛查和管理政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.