Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)

Leila Abid; Rania Hammami; Ikram Chamtouri; Meriam Drissa; Selim Boudiche; MohamedAmine Bahloul; Hedi BenSlima; Khaled Sayahi; Selma Charfeddine; Emna Allouche; Lamia Rais; Badr Kaab; Hassen IbnHadjamor; Lilia BenFatma; Riadh Garbaa; Sabrine Boukhris; Manel Ben Halima; Nesrine Amdouni; Chaima Ghorbel; Sabrine Soudani; Imen Khaled; Syrine Triki; Feten Bouazizi; Imen Jemai; Ouday Abdeljalil; Yemna Ammar; Amani Farah; Adnen Neji; Zeineb Oumayma; Sana Seghaier; Samir Mokrani; Hamza Thawaba; Hela Sarray; Khalil Ouaghlani; Houssem Thabet; Zeineb Mnif; Fatma Boujelban; Mohamed Sghaier; Roueida Khalifa; Sami Fourati; Yasmin Kammoun; Syrine Abid; Chihab Hamza; Syrine Ben Jeddou; Lassaad Sabbah; Rim Lakhdhar; Najla Dammak; Tarek Sellami; Basma Herbegue; Alia Koubaa; Faten Triki; Tarek Ellouz; Aicha Hmoudi; Ikhlas BenAmeur; MohamedMongi Boukhchina; Neila Abid; Wejdene Wachtati; Nizar Nasrallah; Yousra Houidi; Fathia Meghaieth; Elhem Ghodhbane; Mounira Chayeb; Sarra Chenik; Samira Kaabachi; Nizar Saadaoui; Ines BenAmeur; Moufida Affes; Sana Ouali; Mouna Chaker; Hela Naanaa; Meriem Dghim; Mourad Jarrar; Jihene Mnif; Ahmed Turki; Ihsen Zairi; Jamel Langar; Safa Dardouri; Imen Hchaichi; Rafik Chettaoui; Wajih Essmat; Amel Chakroun; Khadija Mzoughi; Rachid Mechmeche; Afef BenHalima; Sahar BenKhala; Slim Chtourou; Abdelkader Maalej; Mohsen Ayari; Moufid Hadrich; Rami Tlili; Fares Azaiez; Imen Bouhlel; Samira Sahnoun; Habib Jerbi; Imtinene BenMrad; Leila Riahi; Mohamed Sahnoun; Abdelhamid BenJemaa; Amel BenSalem; Bassem Rekik; Maroua BenDoudou; Rachid Boujneh; Anissa Joulak; Yosra Mejdoub; Imen Gtif; Gouider Jribi; Elyes Naffeti; Habib Gamra; Soraya BenYousef; Wissem Sdiri; Najeh BenHalima; Youssef BenAmeur; Salem Kachboura; Sondes Kraiem; Wafa Fehri; Leila Bazdeh; MohamedSami Mourali; Sami Milouchi; Habiba Drissa; Faouzi Maatouk; Lilia Zakhama; Faouzi Addad; Samir Kammoun; Salem Abdesselem

doi:10.1186/s12872-022-02584-y

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Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)

Journal article

Peer reviewed

Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)

Leila Abid, Rania Hammami, Ikram Chamtouri, Meriam Drissa, Selim Boudiche, MohamedAmine Bahloul, Hedi BenSlima, Khaled Sayahi, Selma Charfeddine, Emna Allouche, …

BMC cardiovascular disorders, Vol.22(1), pp.131-131

29/03/2022

DOI: https://doi.org/10.1186/s12872-022-02584-y

PMID: 35351007

Abstract

Aged

Cross-Sectional Studies

Female

Humans

Hypertension - diagnosis

Hypertension - drug therapy

Hypertension - epidemiology

Male

Middle Aged

Registries

Risk Factors

Tunisia - epidemiology

Hypertension is the leading cause of morbi-mortality in our country. Thus, we conducted this national survey on hypertension to analyze the profile of the Tunisian hypertensive patient and to assess the level of blood pressure control. Nature HTN is an observational multicentric survey, including hypertensive individuals and consulting their doctors during the period of the study. Blood pressure measurements were conducted during consultation, using a standardized auscultatory or oscillometric sphygmomanometer after at least 15 min of rest. The diagnosis of new hypertension is based on the 2018 ESC/ESH criteria. The primary endpoint of our study was uncontrolled hypertension defined by a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Three hundred twenty-one investigators participated in the study. We enrolled 25,890 patients with a female predominance (Sex ratio, 1.21) and an average age of 64.4 ± 12.2 years. Most individuals were treated in the public sector (74%), 39.4% of patients were diabetic, 25.8% were obese, 44.6% were overweight and 14% were smokers. Hypertension was controlled in 51.7% of cases if we consider 140/90 as a BP target, and only in 18.6% if we consider 130/80 as a target. The independent predictors of uncontrolled blood pressure were male sex (OR = 1.09, 95%CI [1.02-1.16]), age > 65 year-old (OR = 1.07, 95% CI[1.01-1.13], diabetes (OR = 1.18, 95% CI [1.11-1.25], Smoking (OR = 1.15, 95% CI [1.05-1.25]), Obesity (OR = 1.14, 95% CI[1.07-1.21]), management in public sector (OR = 1.25, 95% CI [1.16-1.34]), and Heart rate > 80 bpm (OR = 1.59, 95% CI [1.48-1.71]). Contrarily, high educational level (OR = 0.9, 95% CI [0.84-0.97], absence of history of coronary disease (OR = 0.86, 95% CI [0.8-0.93]), salt restriction (OR = 0.48, 95% CI [0.45-0.51]), drug compliance (OR = 0.57, 95% CI[0.52-0.61]), and regular physical activity (OR = 0.77, 95% CI[0.71-0.84]) are strong predictors of blood pressure control. NaTuRe HTN showed that blood pressure control was reached in more than half of the Tunisian people. The control remains low in patients with high cardiovascular profiles and in those treated in the public sector. A national health program based on therapeutic education, regular control and continuous support to the public institutions is needed to decrease the burden of hypertension incidence rate.

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Title: Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)
Creators - without role: Leila Abid - Tunisian Society of Cardiology and Cardiovascular Surgery, Tunis, Tunisia. leilaabidt@yahoo.fr.
Rania Hammami - Hopital Universitaire Hedi Chaker
Ikram Chamtouri - Hospital Fatuma Bourguiba Monastir
Meriam Drissa - Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia.
Selim Boudiche - Hôpital La Rabta
MohamedAmine Bahloul - Hopital Universitaire Hedi Chaker
Hedi BenSlima - Cardiology Department, Hospital of Menzel Bourguiba, Bizerte, Tunisia.
Khaled Sayahi - Cardiology Department, ElKef Hospital, Elkef, Tunisia.
Selma Charfeddine - Hopital Universitaire Hedi Chaker
Emna Allouche - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Lamia Rais - Hôpital La Rabta
Badr Kaab - Nephrology Department, La Rabta University Hospital, Tunis, Tunisia
Hassen IbnHadjamor - Cardiology Department, Tahar Sfar Hospital, Mahdia, Tunisia.
Lilia BenFatma - Hôpital La Rabta
Riadh Garbaa - Private Sector, Medenine, Tunisia.
Sabrine Boukhris - Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia.
Manel Ben Halima - Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
Nesrine Amdouni - Hospital Fatuma Bourguiba Monastir
Chaima Ghorbel - Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia.
Sabrine Soudani - Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia.
Imen Khaled - CSB, Medenine, Tunisia.
Syrine Triki - Hopital Universitaire Hedi Chaker
Feten Bouazizi - CSB, Medenine, Tunisia
Imen Jemai - Habib Bourguiba Hospital, Medenine, Tunisia
Ouday Abdeljalil - Hospital Fatuma Bourguiba Monastir
Yemna Ammar - CSB, Medenine, Tunisia.
Amani Farah - Hospital Fatuma Bourguiba Monastir
Adnen Neji - Hospital of Tozeur, Tozeur, Tunisia.
Zeineb Oumayma - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Sana Seghaier - Tunisia Private University
Samir Mokrani - Hospital of Mateur, Bizerte, Tunisia.
Hamza Thawaba - Etablissements Abdelmoula
Hela Sarray - Hopital Universitaire Hedi Chaker
Khalil Ouaghlani - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Houssem Thabet - Hôpital Farhat Hached
Zeineb Mnif - University of Sfax
Fatma Boujelban - University of Sfax
Mohamed Sghaier - Private Sector, Ben Arous, Tunisia
Roueida Khalifa - Hospital Fatuma Bourguiba Monastir
Sami Fourati - University of Sfax
Yasmin Kammoun - Hopital Universitaire Hedi Chaker
Syrine Abid - Tunisia Private University
Chihab Hamza - Tunisia Private University
Syrine Ben Jeddou - Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
Lassaad Sabbah - University of Sfax
Rim Lakhdhar - Dentsply Sirona
Najla Dammak - Hopital Universitaire Hedi Chaker
Tarek Sellami - Private Sector, Kebeli, Tunisia.
Basma Herbegue - Dentsply Sirona
Alia Koubaa - Compagnie Africaine des Peintures
Faten Triki - Hopital Universitaire Hedi Chaker
Tarek Ellouz - Hopital Universitaire Hedi Chaker
Aicha Hmoudi - CSB, Tataouine, Tunisia.
Ikhlas BenAmeur - Private Sector, Sfax, Tunisia
MohamedMongi Boukhchina - Private Sector, Gabes, Tunisia
Neila Abid - University of Sfax
Wejdene Wachtati - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Nizar Nasrallah - Dentsply Sirona
Yousra Houidi - Hôpital Charles-Nicolle
Fathia Meghaieth - Hôpital La Rabta
Elhem Ghodhbane - CSB, Tataouine, Tunisia.
Mounira Chayeb - Hôpital Charles-Nicolle
Sarra Chenik - Military Hospital of Tunis
Samira Kaabachi - La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
Nizar Saadaoui - University of Sfax
Ines BenAmeur - Private Sector, Sfax, Tunisia
Moufida Affes - University of Sfax
Sana Ouali - Hôpital La Rabta
Mouna Chaker - Hopital Universitaire Hedi Chaker
Hela Naanaa - Private Sector, Nabeul, Tunisia.
Meriem Dghim - Military Hospital of Tunis
Mourad Jarrar - University of Sousse
Jihene Mnif - University of Sfax
Ahmed Turki - Hopital Universitaire Hedi Chaker
Ihsen Zairi - Habib hospital Thameur
Jamel Langar - Private Sector, Nabeul, Tunisia.
Safa Dardouri - Hôpital Farhat Hached
Imen Hchaichi - University of Gabès
Rafik Chettaoui - Dentsply Sirona
Wajih Essmat - University of Gafsa
Amel Chakroun - Hopital Universitaire Habib Bourguiba
Khadija Mzoughi - Habib hospital Thameur
Rachid Mechmeche - Tunisia Private University
Afef BenHalima - Abderrahmane Mami Hospital
Sahar BenKhala - University of Sfax
Slim Chtourou - University of Sfax
Abdelkader Maalej - University of Sfax
Mohsen Ayari - Private Sector, Nabeul, Tunisia.
Moufid Hadrich - Dentsply Sirona
Rami Tlili - Hôpital Mongi Slim
Fares Azaiez - Hôpital Mongi Slim
Imen Bouhlel - Hôpital Farhat Hached
Samira Sahnoun - University of Sfax
Habib Jerbi - University of Sousse
Imtinene BenMrad - Habib hospital Thameur
Leila Riahi - Military Hospital of Tunis
Mohamed Sahnoun - University of Sfax
Abdelhamid BenJemaa - Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
Amel BenSalem - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Bassem Rekik - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia.
Maroua BenDoudou - Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
Rachid Boujneh - Private Sector, Tunis, Tunisia
Anissa Joulak - Private Sector, Tunis, Tunisia
Yosra Mejdoub - Community Medicine Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
Imen Gtif - Centre of Biotechnology of Sfax
Gouider Jribi - Cardiology Department, Farhat Hached Hospital, Sousse, Tunisia
Elyes Naffeti - Cardiology Department, University Hospital Sahloul, Sousse, Tunisia
Habib Gamra - Cardiology Department A, Fatouma Bourguiba Hospital, Monastir, Tunisia
Soraya BenYousef - Security Forces Hospital
Wissem Sdiri - Cardiology Department, Bougatfa Hospital, Bizerte, Tunisia
Najeh BenHalima - Cardiology Department, Ibn El Jazzar Hospital, Kairouan, Tunisia
Youssef BenAmeur - Cardiology Department, Mongi Slim Hospital, Tunis, Tunisia
Salem Kachboura - Cardiology Department, Abderrahmen Mami-Ariana Hospital, Ariana, Tunisia
Sondes Kraiem - Cardiology Department, Habib Thameur Hospital, Tunis, Tunisia
Wafa Fehri - Cardiology Department, The Main Military Instruction Hospital of Tunis, Tunis, Tunisia
Leila Bazdeh - Cardiology Department, Charles Nicole University Hospital, Tunis, Tunisia
MohamedSami Mourali - Cardiology Department, La Rabta 1 (Pr Mourali) University Hospital, Tunis, Tunisia
Sami Milouchi - Cardiology Department, Habib Bourguiba Hospital, Medenine, Tunisia
Habiba Drissa - Cardiology Department, La Rabta 2 (Pr Drissa) University Hospital, Tunis, Tunisia
Faouzi Maatouk - Cardiology Department B, Fattouma Bourguiba University Hospital, Monastir, Tunisia
Lilia Zakhama - Security Forces Hospital
Faouzi Addad - Cardiology Department, Abderrahmen Mami-Ariana Hospital, Ariana, Tunisia
Samir Kammoun - Cardiology Department, Hedi Chaker-Sfax University Hospital, Sfax, Tunisia
Salem Abdesselem - Private Sector, Tunis, Tunisia
Publication Details: BMC cardiovascular disorders, Vol.22(1), pp.131-131
Identifiers: 9930022008331
Academic Unit: Taibah University
Language: English
Resource Type: Journal article