Publications by authors named "N Mourra"
Objective: Elevated blood pressure (BP), even at prehypertensive levels, increases cardiovascular disease risk among people with HIV (PWH); yet international guidelines in low-income countries recommend treatment initiation at BP at least 140/90 mmHg. We determined the efficacy, feasibility, and acceptability of treating prehypertension in PWH in Haiti.
Design: An unblinded randomized clinical trial (enrolled April 2021-March 2022) with 12-month follow-up.
Background: Uncontrolled hypertension is the leading modifiable risk factor for cardiovascular disease mortality and remains high in low-middle income countries like Haiti. Barriers and facilitators to achieving hypertension control in urban Haiti remain poorly understood. Elucidating these factors could lead to development of successful interventions.
View Article and Find Full Text PDFHypertension is a leading contributor to mortality in low-middle income countries including Haiti, yet only 13% achieve blood pressure (BP) control. We evaluated the effectiveness of a community-based hypertension management program delivered by community health workers (CHWs) and physicians among 100 adults with uncontrolled hypertension from the Haiti Cardiovascular Disease Cohort. The 12-month intervention included: community follow-up visits with CHWs (1 month if BP uncontrolled ≥140/90, 3 months otherwise) for BP measurement, lifestyle counseling, medication delivery, and dose adjustments.
View Article and Find Full Text PDFArticle Synopsis
- Higher social vulnerability in low-income countries like Haiti is linked to increased risk of premature cardiovascular disease (CVD) and mortality, yet it remains under-researched in these regions.
- This study aimed to examine the connection between social vulnerability and conditions such as hypertension and various CVD subtypes in Haiti, drawing parallels to other similar low-income nations.
- The research, which included nearly 3,000 adults in urban and slum areas of Port-au-Prince, found significant variations in hypertension and CVD prevalence based on a modified Social Vulnerability Index, highlighting the necessity of addressing these social disparities in health outcomes.
Article Synopsis
- A study in Port-au-Prince, Haiti, found that 14.7% of adults have cardiovascular disease (CVD), with prevalent conditions including heart failure (11.9%) and stroke (2.4%).
- The research involved gathering diverse health data from over 3,000 participants and identified key risk factors such as hypertension and obesity linked to heart failure.
- The findings reveal a significant presence of early-onset heart failure in Haiti, highlighting the need for tailored health policies in low- and middle-income countries based on local epidemiological data.