Analysis of Risk Factors among the Hypertensive Patients in a Tertiary Care Hospital of a Northern District in Bangladesh

Cardiovascular Journal Pub Date : 2022-10-10 DOI:10.3329/cardio.v15i1.61913

Md Saiduzzaman, Md. Shahriar Kabir, Asmg Rabbani, Md Abdul Matin, Md. Rezaul Alam, Khandaker Abu Rubaiyat, Md Mamun Reza

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Abstract

Background: Hypertension is the leading cause of cardiovascular morbidity and mortality all over the world. Although some epidemiological studies on hypertension have been conducted in Bangladesh, the factors associated with hypertension in this nation remain unclear. The objective of this study was to determine the factors associated with hypertension among the adult population in a northern district in Bangladesh. Methods: This cross- sectional study was conducted at the Department of Cardiology, M. Abdur Rahim Medical College Hospital, Dinajpur from March 2021 to February 2022. Out of total of 500 participants from OPD and indoor Cardiology Department of this hospital, 250 hypertensive patients were recruited as cases and another 250 normotensive participants were taken as control. Results: Majority of the hypertensive patients in the study population were in 46-55 years of age group [male 48(32.4%) and female 40(39.2%)]; whereas normotensive participants less in number in the same age group [male 20(16.1%) and female 24(19.0%)]. Hypertension was more common in males (59.2% of cases). Moreover, hypertensive participants had strong family history (66%) of hypertension, urban residential area (68%), habits of smoking (67.2%), diabetes mellitus (64%), and excess salt consumption (70%). Raised levels of total cholesterol, triglycerides, and LDL were more common among hypertensive participants than that of the normotensive control group and which was found to be statistically significant. Conclusion: Our study shows that the risk of hypertension was significantly associated with older age, male sex, family history of hypertension, urban residence, smoking, excess salt consumption, higher BMI and waist circumference, dyslipidemia and diabetes mellitus. More studies and area-specific longitudinal research is needed in this field which would help adopt national policies to limit incidence as well as consequences of hypertension in our country. Cardiovasc j 2022; 15(1): 69-74

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孟加拉国北部地区某三级医院高血压患者危险因素分析

背景:高血压是全世界心血管疾病发病和死亡的主要原因。尽管在孟加拉国进行了一些关于高血压的流行病学研究，但与该国高血压相关的因素仍不清楚。本研究的目的是确定孟加拉国北部地区成人高血压的相关因素。方法:本横断面研究于2021年3月至2022年2月在迪纳杰普尔M. Abdur Rahim医学院医院心内科进行。在该院门诊和室内心内科共500名受试者中，250名高血压患者作为病例，250名正常受试者作为对照组。结果:研究人群中高血压患者以46 ~ 55岁年龄组居多[男性48例(32.4%)，女性40例(39.2%)];而在同一年龄组中，血压正常的受试者人数较少[男性20人(16.1%)，女性24人(19.0%)]。高血压以男性多见(59.2%)。此外，高血压患者有高血压家族史(66%)、城市居住地区(68%)、吸烟习惯(67.2%)、糖尿病(64%)和过量盐摄入(70%)。总胆固醇、甘油三酯和低密度脂蛋白水平升高在高血压参与者中比正常对照组更常见，这在统计学上是显著的。结论:我们的研究表明，高血压风险与年龄、男性、高血压家族史、城市居住、吸烟、过量盐摄入、高BMI和腰围、血脂异常和糖尿病有显著相关性。在这一领域需要更多的研究和特定区域的纵向研究，这将有助于制定国家政策来限制我国高血压的发病率和后果。心血管病杂志[j] 2022;15 (1): 69 - 74

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Cardiovascular Journal

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