Key result
Resistant hypertension was associated with significantly higher rates of major cardiovascular events at one year compared to controlled hypertension, including myocardial infarction (4.7% vs. 1.3%).
Why the study?
Hypertension affects around thirty million adult Egyptians, but the exact prevalence, predictors, and cardiovascular impact of resistant hypertension in Egypt had not been determined.
Does resistant hypertension increase the risk of major adverse cardiovascular events in adult Egyptian hypertensive patients?
Cohort (n=990)
No
Does resistant hypertension increase the risk of major adverse cardiovascular events in adult Egyptian hypertensive patients?
Absolute Event Rate: 4.7% vs 1.3%
p-value: p=0.004
RH associated with higher MACE including new AF; leaves open optimal management strategies in Egyptian hypertensives.
Background: Hypertension is a leading problem; it affects around thirty million adult Egyptians, according to the last national registry. The exact prevalence of resistant hypertension (RH) in Egypt wasn't spotted before. The purpose of this study was to determine the prevalence, predictors, and impact on adverse cardiovascular outcomes among adult Egyptians with RH. Methods: The present study examined a cohort of 990 hypertensive patients who were divided into two groups based on their blood pressure control; group I (n = 842) patients who achieved blood pressure control and group II (n = 148) patients who met the RH definition criteria. All patients underwent a close follow-up for one year to evaluate the major cardiovascular events. Results: , and NSAID use. After one year of follow-up, the RH group displayed noticeably higher rates of major cardiovascular events, including new-onset atrial fibrillation (6.8% vs. 2.5%, P = 0.006), cerebral stroke (4.1% vs. 1.2%, P = 0.011), myocardial infarction (4.7% vs. 1.3%, P = 0.004), and acute heart failure (4.7% vs. 1.8%, P = 0.025). Conclusion: The prevalence of RH in Egypt is moderately high. Patients with RH have a far higher risk of cardiovascular events than those whose blood pressure is within control.
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Khalfallah et al. (2023) conducted a cohort in Hypertension (n=990). Resistant hypertension vs. Controlled hypertension was evaluated on Myocardial infarction (p=0.004). Resistant hypertension was associated with significantly higher rates of major cardiovascular events at one year compared to controlled hypertension, including myocardial infarction (4.7% vs. 1.3%).
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