OALibJ  Vol.5 No.5 , May 2018
Prevalence and Epidemiology of the Arterial Hypertension of the Adult in Kamina in the Democratic Republic of the Congo
ABSTRACT
High blood pressure (HTA) is a cardiovascular disease more prevalent in consultations in internal medicine; it is until now less controlled in the world, especially in developing countries where the majority of hypertensives are not controlled. In general, it is estimated that hypertension affects between 10% to 15% of the adult population. In some countries the prevalence is slightly higher (about 20% of the adult population) and in some Eastern European countries an even higher prevalence has been observed (up to 30%). This is a cross-sectional descriptive study on the prevalence and epidemiology of HTA in Kamina. The study was spread over a 12-month period from January 2017 to December 2017. This study found that out of 222 patients received in internal medicine at the Kamina General Referral Hospital in 2014, 187 subjects represented 84 patients. 2% had different pathologies compared to 35 subjects, i.e. 15.8% had hypertension. We found that participants aged 60 and over are more represented with a workforce of 18% or 51.4% while subjects aged 40-59 represent only a workforce of 5% or 14.3%. As for sex, women are more affected by HTA with a workforce of 21% or 60% while men represent a workforce of 14% or 40%. To better contribute to the reduction of the morbidity and mortality associated with the complications of hypertension, it is necessary to act early upstream according to the extent of this pathology, even at the level of the basic health centers. The significant proportion of severely hypertensive patients requires greater awareness to consult for their follow-up and management.
Cite this paper
Anany, I. , Gustave, B. , Leaticia, S. , Micheline, K. , Valentin, M. and Fiston, I. (2018) Prevalence and Epidemiology of the Arterial Hypertension of the Adult in Kamina in the Democratic Republic of the Congo. Open Access Library Journal, 5, 1-9. doi: 10.4236/oalib.1104601.
References
[1]   Unikam, A. (2012) Profil Epidemiologique De L’hta En Milieu Hospitalier Des Cliniques Universitaires De Lubumbashi, VOL. XI, n°2, novembre, 61.

[2]   Report of a WHO Expert Committee. Hypertension control. WHO Technical Report Series 862. World Health Organization, Geneva, 1996.

[3]   Study on Hypertension control Monitoring at Community Level. WHO Regional Office for Europe, Copenhagen, 1994.

[4]   Lawes, C.M., Vander Hoorn, S. and Rodgers, A. (2001) Global Burden of Blood Pressure Related Disease. Lacet, 56.

[5]   Agence de la santé publique du canada, Faits et chiffres sur l’HTA, 2009.

[6]   Mounier-Vehier, C., Amah, G. and Covillard, J. (2002) Prise en charge de l’HTA essentielle et du niveau de risque cardiovasculaire, Arch Mal c?ur Vaiss.

[7]   Recommandations Professionnelles (2007) Suivi et orientation des femmes enceintes en fonction des situations à risque identifiées, Argumentaire; HAS, 23-25, 7-79.

[8]   SIPLEY ROD (1965) précis de cardiologie, 2 éd paris, 208.

[9]   Chobanianav, Bakris, G.L., Black, H.R., et al. (2003) The Seventh Report of Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; the JNC 7 Report. JAMA, 289, 2560-2572.

[10]   Tony, E.O. (2005) Aspects Epidemiologiques Et Evolutifs De L’accident Vasculaire Cerebral A L’hopital General De Reference De Kinshasa, 2.

[11]   Didier Duhot, luc (1995) Enquete Transversale De L’observation De Medecine Generale.

[12]   KANONGE MPOYO NORIA (2008) La prévalence de l’hypertension artérielle à l’h?pital général de référence de Kamina, UNIKAM.

[13]   Edwards, R., Unwin, N., Mugusi, F., et al. (2000) Hypertension Prevalence and Care in an Urban and Rural Area of Tanzania. Journal of Hypertension, 18, 145-152.
https://doi.org/10.1097/00004872-200018020-00003

[14]   Kimbally-Kaky, G., Gombet, T., Bolanda, J.D., Voumbo, Y., Okili, B., Ellenga-Mbolla, B., et al. (2006) Prévalence de l’hypertension artérielle à Brazzaville. Cardiologie Tropicale, 32, 43-6.

[15]   Godet-Thobie, H., Vernay, M., Noukpoape, A., et al. (2008) Niveau tensionnel moyen et prévalence de l’hypertension artérielle chez les adultes de 18 à 74 ans. Weekly Epidemiological Bulletin, 49-50, 478-482.

[16]   Wolf-Maier, K., Cooper, R.S., Banegas, J.R., Giampaoli, S., Hense, H.W., Joffres, M., et al. (2003) Hypertension Prevalence and Blood Pressure Levels in 6 European countries, Canada, and the United States. JAMA, 289, 2363-2369.

[17]   Kearney, P.M., Whelton, M., Reynolds, K., et al. (2005) Global Burden of Hypertension: Analysis of Worldwide Data. Lancet, 365, 217-223.
https://doi.org/10.1016/S0140-6736(05)70151-3

[18]   Hajjar, I., Kotchen, J.M. and Kotchen, T.A. (2006) Hypertension: Trends in Prevalence, Incidence and Control. Annual Review of Public Health, 27, 465-490.
https://doi.org/10.1146/annurev.publhealth.27.021405.102132

[19]   He, F.J., Li, J. and MacGregor, G.A. (2013) Effect of Longer Term Modest Salt Reduction on Blood Pressure: Cochrane Systematic Review and Meta-Analysis of Randomized Trials. BMJ, 346.

[20]   Wagner, A., Arveiler, D., Ruidavets, J.B., et al. (2008) état des lieux sur l’hypertension artérielle en France en 2007: l’étude Mona Lisa. Weekly Epidemiological Bulletin, 49-50, 483-486.

 
 
Top