HTN prevalence 2007-2014.

HTN prevalence 2007-2014.

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Objective: We review prior studies on the incidence of hypertension (HTN) after earthquakes and present a retrospective analysis of HTN after the 2010 earthquake in Haiti. Methods: Prior reports on HTN incidence were reviewed and a retrospective chart review for diagnosis of HTN in 4,308 patient charts was performed over a 7 year period (five clini...

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... Furthermore, the Great East Japan Earthquake was noted to influence early morning homebased BP management among patients who did not live near the epicenter of the earthquake 3 . Fath et al. 29 reported a transient increase in BP after just 1-2 weeks after the earthquake, and a return to original BP levels more than 1 month after the earthquake. Mechanical (e.g., cold, noise and radiation), biological (e.g., inflammation, infection and hunger), chemical (e.g., air pollution and drugs) and psychological (e.g., sadness, anger and anxiety) factors can induce stress. ...
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Aim/introduction: Following the first coronavirus disease-2019 state-of-emergency announcement, there was an increase in stress that may have affected the self-management of patients with type 2 diabetes mellitus (T2DM). This study identified the changes in clinical findings and stress among patients with T2DM and investigated the characteristics of patients who experienced an increase in blood pressure (BP) following the announcement. Materials and methods: Retrospectively, we scrutinized 310 patients with T2DM who were treated by the Sagamihara Physicians Association. Following the announcement, 164 and 146 patients showed an increase (ΔBP>0 group) and decrease in BP (ΔBP≤0 group), respectively. The propensity score matching method was used to compare the differences in clinical findings and stress-related questionnaire responses between the two groups. Results: Following the announcement, 47% of patients experienced an increase in daily stress. Further, 17% and 36% reported worsening dietary intake and a decrease in exercise, respectively. More patients reported that their dietary and salt intake had worsened in the ΔBP>0 group than in the ΔBP≤0 group (9% vs. 20%, p=0.02, and 3% vs. 10%, p=0.04, respectively). Additionally, both systolic and diastolic BP measured in the office were significantly increased (p=0.02 and p=0.03, respectively); however, systolic BP measured at home significantly decreased (p=0.01). The total stress scores were higher in the ΔBP>0 group than in the ΔBP≤0 group (0.05±2.61 and 0.93±2.70, respectively, p=0.03). Conclusions: An increase in stress and, particularly, worsening dietary and salt intake were noted among patients with T2DM who experienced an increase in BP following the state-of-emergency announcement.
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Cardiovascular disease (CVD) is the number one cause of death in low‐income countries including Haiti, with hypertension (HTN) being the leading risk factor. This study aims to identify gaps in the HTN continuum of screening, diagnosis, treatment, and blood pressure (BP) control. Sociodemographic and clinical data were collected from a population‐based sample of adults ≥18 years in Port‐au‐Prince (PAP) from March 2019 to April 2021. HTN was defined as systolic BP ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or use of antihypertensive medication. Screening was defined as ever having had a BP measurement; diagnosis as previously being informed of a HTN diagnosis; treatment as having taken antihypertensives in the past 2 weeks; and controlled as taking antihypertensives and having BP < 140/90 mmHg. Factors associated with attaining each step in the continuum were assessed using Poisson multivariable regressions. Among 2737 participants, 810 (29% age‐standardized) had HTN, of whom 97% had been screened, 72% diagnosed, 45% treated, and 13% controlled. There were no significant differences across age groups or sex. Obesity (BMI ≥ 30) was a significant factor associated with receiving treatment compared to normal weight (BMI < 25), with a prevalence ratio (PR) of 1.5 (95% CI 1.1–2.0). Having secondary or higher education was associated with higher likelihood of controlled BP (PR 1.9 [95% CI 1.1–3.3]). In this urban Haitian population, the greatest gaps in HTN care are treatment and control. Targeted interventions are needed to improve these steps, including broader access to affordable treatment, timely distribution of medications, and patient adherence to HTN medication.