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Cardiovascular risk factors in elderly hypertensive patients in Senegal

Abstract Introduction Hypertension in the elderly is a major public health concern. Absolute cardiovascular risk attributable to hypertension is higher in elderly than in young patients. This risk is higher if hypertension is associated with cardiovascular risk factors. This study was conducted to assess cardiovascular risk factors in elderly hypertensive patients. Methodology This was a descriptive, cross-sectional study conducted over a period of nine months from January to September 2013, which included hypertensive patients aged 60 years and over seen at the cardiology outpatient department of the Principal Hospital of Dakar in Senegal. The analysis and statistical tests were performed using Epi info 7; a p-value less than 0.05 was considered to be statistically significant. Results A total of 208 patients were included with a female predominance and the average age was Sudan Med J 2014 December;50(3) 156 Original Article Cardiovascular risk factors in elderly Modou Jobe 69.9 ± 7.6 years. A history of diabetes was found in 19.7% of subjects with an average disease duration of 9 ± 7.9 years. 56% of the patients were either obese or overweight. Abdominal obesity was noted in 54.81% of subjects and was significantly higher in men (p = 0.0001). 60.8% of patients had a dyslipidemia, and smoking was found in 10.5% of cases, physical inactivity in 71.6% of cases. Metabolic syndrome was noted in 50.48% of our patients. Also, a combination of at least three risk factors in addition to hypertension was noted in 66.3% of patients. The level of cardiovascular risk was generally high (p = 0.044). Men were significantly at higher risk than women (p = 0.005). Conclusion Hypertension in the elderly requires comprehensive care as it is associated with many other cardiovascular risk factors.

Auteur(s) : Simon A Sarr, Pape Diadie Fall, Modou Jobe, Kenny Prince-Agbodjan, Mohamed Chérif Mboup, Khadidiatou Dia, Malick Bodian, Mouhamadou Bamba Ndiaye, Adam
Pages : 155-160
Année de publication : 2014
Revue : soudan medical journal
N° de volume : 50
Type : Article
Mise en ligne par : SARR Simon Antoine