Abstract

  The aim of this study was to describe the circumstances in which arterial hypertension was discovered in known non-hypertensive patients admitted to the Internal Medicine department of the Sylvanus Olympio teaching hospital of Lomé. It is a retrospective and descriptive study conducted from 1^st January 2015 to 31 December 2017 from the files of patients with hypertension in whom the diagnosis of hypertension was made in the Internal Medicine department. During the period of study, 176 patients suffering from arterial hypertension were received in the department. Among them, 105 were not known to have hypertension. The average age was 55, 69 years (extremes of 20 and 89 years) with a sex ratio (M/F) of 0, 90. Hypertension was essential in 97, 14% (N = 102) and secondary in 2.85% of cases (N = 3). It was grade 1 in 28, 57% (N = 30); grade 2 in 44, 76% (N = 47) and grade 3 in 26, 66% of cases (N = 28). Cardiovascular risk factors associated with hypertension were diabetes mellitus (55, 23%), obesity (15, 23%), dyslipidaemia (8, 57%, family history of hypertension (7, 62%) and alcoholism (6, 67%). The discovery of hypertension has been fortuitous in 79, 19% of cases (N = 80). It has been revealed by symptoms in 13, 33% (N = 14) and by complications in 10.47% of cases (N = 11). hypertension unknown is frequent in the Internal Medicine department of the Sylvanus Olympio Teaching Hospital, especially in diabetics. More emphasis must be placed on its prevention in our country by promoting new methods of raising awareness and educating the population.

Keywords: High Blood Pressure; Fortuitous Discovery; Diabetes Mellitus; Lomé (Togo)

References

1. Mancia G., et al. “ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)”. Journal of Hypertension 7 (2013): 1281-357.
2. Koate A. “L'hypertension artérielle en Afrique noire”. Bulletin de l'Organisation mondiale de la Sante6 (1978): 841-848.
3. Fourcade L., et al. “Hypertension artérielle en Afrique Subsaharienne actualité et perspectives”. Medica Tropical 67 (2007): 559-567.
4. Addo J., et al. “Hypertension in sub-Saharan Africa: a systematic review”. Hypertension6 (2007): 1012-1018.
5. Agence national d’accélération et d’évaluation en santé. “Prise en charge des patients atteints d’hypertension artérielle”. Rapport ANAES: Avril (2001).
6. Damorou F., et al. “Epidémiologie et circonstance de découverte de l’hypertension artérielle en milieu hospitalier à Kpalimé (ville secondaire du Togo)”. Mali Médical 23 (2008): 17-20.
7. Damorou F., et al. “Epidémiologie de l’hypertension artérielle au CHU de Kara”. African Biomedicine 14 (2009): 95-102.
8. Agoudavi K., et al. “Rapport final de l’enquête STEPS Togo 2010”. Ministère de la Santé Togo. (2012) www.sante.gouv.tg
9. Yao KH., et al. “Hypertension artérielle de Novo compliquée de l’adulte en milieu hospitalier noir Africain”. Revue Internationale des Sciences Médicales d 2 (2011): 33-36.
10. Perrine AL., et al. “L’hypertension artérielle en France: prévalence, traitement et contrôle en 2015 et évolutions depuis 2006”. Revue de Biologie Médicale 347 (2019): 75-85.
11. Cooper R., et al. “The prevalence of hypertension in seven populations of west African origin”. American Journal of Public Health2 (1997): 160-168.
12. Diallo B. “Profil épidémiologique de l’HTA en milieu hospitalier au CHR de Bamako au Mali. Etude prospective à propos de 110 cas”. Médecine d’Afrique Noire 45 (2000): 346-312.
13. Ordunez P., et al. “Education, and Blood Pressure in Cuba”. American Journal of Epidemiology 1 (2005): 49-56.
14. Atallah A., et al. “Prévalence et prise en charge de l’hypertension artérielle en Guadeloupe, France”. BEH 49.50 (2008): 486-489.
15. Yannoutsos A., et al. “Hypertension artérielle et diabète: quelle cible thérapeutique et quel choix de traitement?” Réalités en nutrition et en diabétologie 41 (2012): 29-34.
16. Tankeu AT., et al. “Spécificités de la prise en charge de l’hypertension artérielle chez le patient diabétique sub-saharien”. Médecine des maladies Métaboliques2 (2017): 148-154.
17. Tesfaye F., et al. “Association between body mass index and blood pressure across three populations in Africa and Asia”. Journal of Human Hypertension 21 (2007): 28-37.
18. Drabo YJ., et al. “Du traitement de l’HTA au centre hospitalier régional de Fada-gourma, à propos de110 cas”. Médecine d'Afrique noire électronique 39 (1992): 36-41.
19. Bouramoue C. “Hypertension artérielle de l’adulte au centre hospitalier de Brazzaville-congo à propos de 4928 cas”. Médecine d'Afrique noire électronique 45 (2002): 587-59.
20. Goeh-Akue E., et al. “Hypertension artérielle en milieu rural au Togo: cas du District Sanitaire d'Agou”. Revue CAMES - Portails Des Revues Africaines 06 (2008): 65-69.
21. Twagirumukiza M. “Aspects de l’HTA au service de médecine interne au CHU de Burare-Rwanda: étude prospective à propos de 144 cas”. Médecine d’Afrique Noire 50 (2003): 167-175.
22. Djidjoho AS., et al. “Etude du risque cardiovasculaire absolu et des complications de l’hypertension artérielle dans une population de patients hypertendus à Cotonou”. Journal de la Société de Biologie Clinique du Bénin 026 (2017): 35-40.
23. Drabo YJ., et al. “Les atteintes cardiaques du diabétique: Etude de260 diabétiques au CHN de Oaugadougou”. Revue Africaine de Diabétologie 4 (1996): 5-7.
24. Longo-Mbenza B., et al. “The role of hemodynamic impairment and duration on diabétic cardiomyopathy and Hypertension in central Africans with atherosclerosis”. Journal of Diabetes and its Complications 12 (2002): 146-152.
25. Ukoh VA. “Admission of hypertensive patients at the University of Benin Teaching Hospital, Nigeria”. East African Medical Journal 7 (2007): 329-335.
26. Lengani A., et al. “Caractéristiques de l’atteinte rénale dans la morbidité hypertensive de l’adulte au Burkina Faso”. Archives Des Maladies Du Coeur Et Des Vaisseaux 93 (2000): 1053-1057.
27. Bekemsi M. “HTA compliquée en milieu hospitalier à propos de 250 cas”. Mémoire de Médecine Interne, Université de Lomé, Togo (2013): 76 pages.
28. Bogousslavsky J., et al. “Stroke Subtypes and Hypertension: Primary Hemorrhage vs Infarction, Large- vs Small-Artery Disease”. Archives of Neurology3 (1996): 265-269.
29. Pio M., et al. “Epidémiologie et étiologies des insuffisances cardiaques à Lomé”. Pan African medical Journal (2014): 18.

Citation

Citation: Komi Dzidzonu Nemi., et al. “Circumstances of Discovery of Arterial Hypertension (AHT) in a Department of Internal Medicine in Lomé (Togo)". Acta Scientific Medical Sciences 4.10 (2020): 142-146.

Copyright

Copyright: © 2020 Komi Dzidzonu Nemi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.