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. M. , Gustave, B. K. , Leaticia, S. N. , Micheline, K. B. , Valentin, M. K. and Fiston, I. M. (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, e4601. doi: http://dx.doi.org/10.4236/oalib.1104601.
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.
Recommandations Professionnelles (2007) Suivi et orientation des femmes enceintes en fonction des situations à risque identifiées, Argumentaire; HAS, 23-25, 7-79.
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.
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
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.
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.
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
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
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.
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.