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Authors:
Tcherou T*, Yayehd K, Atta D B, Pio M, Abena T Y, Languede K, Pessinaba S, Bakai A M, Baragou S, Damorou F., Togo
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Abstract:
Objectives: To establish the profile of target organ damage and
assess the overall cardiovascular risk in hypertensive patients followed in
Kara city.
Methodology: This is a prospective cross-sectional study conducted
from july 2016 to june 2019 in three health centers in Kara city (North Togo).
Were included all hypertensive patients (old and new case) received in an
outpatient setting and having carried out the minimum hypertension assessment
making it possible to identify the different target organ damage. The overall
cardiovascular risk was assessed according to the framingham model. Data
analysis was done by Epi info3.5.4 software.
Results:
The average age was 53.2 years with a female predominance (301 women versus 248
men). Associated cardiovascular risk factors were: Obesity and/or overweight
(50.3%), abdominal obesity (34.2%), dyslipidemia (32.5%), diabetes (12.6%) and
smoking (6.5%). The prevalence of infra clinical damage was 48.4% and that of
clinical damage was 27.7%. For subclinical involvement, micro albuminuria was
the most common (45.9%) while left heart failure was the most common
complication (23.8%). The low, moderate, high and very high cardiovascular risk
was respectively 12,9%; 15,9%; 45% and 26,2%.
Conclusion:
The prevalence of target organ damage in hypertensive patients is very high in
our environment. In the majority of cases (71.2%) the overall cardiovascular
risk is either high or very high
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