Orthostatic Hypotension in Male Hypertensive Patients: A Cross-Sectional Study at the University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2021-10-05 eCollection Date: 2021-01-01 DOI:10.2147/IBPC.S331467
Ayechew Adera Getu, Deribew Abebaw Abuhay, Bahiru Tenaw Goshu
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Abstract

Background: Orthostatic hypotension (OH) is defined as a fall in systolic blood pressure (SBP) ≥20 mmHg or diastolic BP (DBP) ≥10 mmHg within 3 minutes of standing. OH incidence is increased with hypertension, and management of these patients may pose challenges, as treatment of one can worsen the other.

Objective: This study aimed to determine the prevalence of OH and its associated factors among male hypertensive patients at the University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia.

Methods: A hospital-based cross-sectional design was employed. Seated BP was measured twice and the average of the two taken. After BP had been stabilized for 5 minutes, SBP within 3 minutes of standing was measured twice and the minimum of the two taken. A drop of ≥20 mmHg in SBP within 3 minutes of standing was taken as OH. All male hypertensive patients who were able to attain a standing position were included. Sociodemographic, anthropometric, and clinical status of the patients were taken using structured interviewer-administered questionnaires. Data were entered and analyzed using SPSS 21. Both bivariate and multivariate logistic regression analysis were done. P≤0.05 was considered statistically significant.

Results: The median age of study participants was 57 (25-96) years. The prevalence of OH was 17.6%. Uncontrolled hypertension (adjusted OR 2.08, 95% CI 1.125-3.872) and duration of hypertension ≥5 years (adjusted OR 2.04, 95% CI 1.069-3.895) were significantly associated with OH in hypertensive patients.

Conclusion: The prevalence of OH among male hypertensive patients was high. Hypertensive patients whose BP was uncontrolled and having had hypertension ≥5 years were risk factors of OH.

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男性高血压患者的直立性低血压:埃塞俄比亚贡达尔大学综合专科医院的横断面研究。
背景:直立性低血压(OH)被定义为在站立后3分钟内收缩压(SBP)下降≥20mmhg或舒张压(DBP)下降≥10mmhg。高血压患者OH发病率增加,这些患者的管理可能会带来挑战,因为治疗一种患者会使另一种患者恶化。目的:本研究旨在确定埃塞俄比亚贡达尔大学综合专科医院男性高血压患者OH患病率及其相关因素。方法:采用基于医院的横断面设计。坐位血压测量两次,取两次平均值。血压稳定5分钟后,测量站立3分钟内的收缩压2次,取其中的最小值。站立3分钟内收缩压下降≥20 mmHg作为OH。所有能够站立的男性高血压患者都包括在内。社会人口学、人体测量学和患者的临床状况采用结构化访谈者管理的问卷调查。数据录入并使用SPSS 21进行分析。进行双变量和多变量logistic回归分析。P≤0.05认为有统计学意义。结果:研究参与者的中位年龄为57岁(25-96岁)。OH患病率为17.6%。未控制的高血压(校正OR 2.08, 95% CI 1.125-3.872)和高血压持续时间≥5年(校正OR 2.04, 95% CI 1.069-3.895)与高血压患者OH显著相关。结论:男性高血压患者OH患病率较高。高血压患者血压不受控制且高血压病史≥5年是OH的危险因素。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
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