Contribution of Ambulatory Blood Pressure Monitoring to the Management of Arterial Hypertension at Blaise Compaoré University Hospital - World Journal of Cardiovascular Diseases

WJCD > Vol.7 No.12, December 2017

Contribution of Ambulatory Blood Pressure Monitoring to the Management of Arterial Hypertension at Blaise Compaoré University Hospital ()

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DOI: 10.4236/wjcd.2017.712043 973 Downloads 2,615 Views Citations

Author(s)

Yibar Kambiré^1,2*, Georges Kinda², Georges R.C. Milllogo^2,3, Lassina Konaté¹, Issa Diallo¹, K. Jonas Kologo^2,3, Jean-Baptiste Tougouma⁴, Germain D. Mandi¹, R. Aristide Yaméogo¹, Salifou Yaogo¹, Caleb Tindano³, André K. Samadoulougou^2,3, Patrice Zabsonré^2,3

Affiliation(s)

¹Department of Medicine and Medical Specialties, Blaise COMPAORE University Hospital, Ouagadougou, Burkina Faso.
²Department of Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.
³Cardiology Department, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso.
⁴Cardiology Department, Souro Sanou University Hospital, Bobo-Dioulasso, Burkina Faso.

ABSTRACT

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.

KEYWORDS

Hypertension, Diagnosis, Treatment, Ambulatory Monitoring, Africa

Share and Cite:

Kambiré, Y. , Kinda, G. , Milllogo, G. , Konaté, L. , Diallo, I. , Kologo, K. , Tougouma, J. , Mandi, G. , Yaméogo, R. , Yaogo, S. , Tindano, C. , Samadoulougou, A. and Zabsonré, P. (2017) Contribution of Ambulatory Blood Pressure Monitoring to the Management of Arterial Hypertension at Blaise Compaoré University Hospital. World Journal of Cardiovascular Diseases, 7, 442-450. doi: 10.4236/wjcd.2017.712043.

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