Research Article
Volume 7 Issue 9 - 2020
Prevalence of Resistant Hypertension in Hypertension and Research Center, Rangpur
Ratindra Nath Mondal1*, Mahfuj-Ul-Anwar2, Shah Md Sarwer Jahan2, ASM Rahenur Mondol2, Md Mokhlesur Rahman Sarker2, Md Al Fatah Al Adiluzzaman2, Narayan Chandra Sarkar2, Moni Rani3, Sajeda Afrin2 and Md Zakir Hossain4
1Hypertension and Research Center, Rangpur, Bangladesh
2Rangpur Medical College, Rangpur, Bangladesh
3Rajshahi Medical College, Rajshahi, Bangladesh
4Shaheed Ziaur Rahman Medical College, Bogra, Bangladesh
*Corresponding Author: Ratindra Nath Mondal, Hypertension and Research Center, Rangpur, Bangladesh.
Received: July 10, 2020; Published: August 05, 2020




Abstract

Background: Now a days hypertension is a major public health problem due to its complications like cardiovascular diseases, stroke, chronic kidney disease and peripheral vascular disease.

Subjects and Methods: This was a cross sectional study, carried out in Hypertension and Research Center Rangpur, Bangladesh. Assuming unknown prevalence of resistant hypertension a sample size of 384 will be calculated to give the true prevalence with a precision of 5% with 95% of confidence level. On an average about 30 patient visit to Hypertension and Research Center, Rangpur daily. From the daily visited patients every 3rd patient was included in this study.

Results: In this study, we have examined a total of 351 people of both sexes. In our study 97.2% (341) patients taking the drugs regularly. So, the prevalence of resistant hypertension among the patient who taking the antihypertensive drug regularly was 15.83% (54). Uncontrolled hypertension was in 21.9%. Prevalence of resistant hypertension was more in male than female (59.3% vs 40.7%). Resistant hypertension were more common in comparatively older age patients (55.88 vs 50.49 years), those who continued smoking (11.2% vs 2.7%), were physically inactive (18.5% vs 10.1%), did not do regular exercise (59.3% vs 51.9%), obese (16.7% vs 10.4%) and longer duration of hypertension. Resistant hypertension was also common among those intake NSAID (5.56% vs 1.68%) and steroid concurrently (3.70% vs 2.02%). Target organ damage e.g. IHD (31.48% vs 9.09%) and CKD (3.70% vs 2.35%) were more in resistant hypertensive than non-resistant hypertensive patient.

Conclusion: In our study approximately one-sixth of the hypertensive patients had resistant hypertension. older age, physical inactivity, irregular exercise (30 minutes of walking), irregular follow up and increasing duration of hypertension are associated with resistant hypertension.

Keywords: Resistant; Hypertension; Center; Rangpur

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Citation: Ratindra Nath Mondal., et al. “Prevalence of Resistant Hypertension in Hypertension and Research Center, Rangpur”. EC Cardiology 7.9 (2020): 06-13.

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