High Prevalence of Hypertension in Ethiopian and Non-Ethiopian HIV-Infected Adults.

Int J Hypertens

AIDS Unit, Department of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Published: January 2018

Objectives: Prevalence of hypertension has not been studied in the Ethiopian HIV-infected population, which represents 60% of the patients in our AIDS unit. Our aim was to identify risk factors and characterize the prevalence of hypertension in the population monitored at our unit.

Methods: A retrospective chart review categorized subjects according to their blood pressure levels. Hypertension prevalence was determined and stratified according to variables perceived to contribute to elevated blood pressure.

Results: The prevalence of hypertension in our study population was significantly higher compared to the general population (53% versus 20%, < 0.0001) and was associated with known risk factors and not with patients' viral load and CD4 levels. Ethiopian HIV-infected adults had a prominently higher rate of blood pressure rise over time as compared to non-Ethiopians ( = 0.016).

Conclusions: The high prevalence of hypertension in this cohort and the rapid increase in blood pressure in Ethiopians are alarming. We could not attribute high prevalence to HIV-related factors and we presume it is part of the metabolic syndrome. The lifelong cardiovascular risk associated with HIV infection mandates hypertension screening and close monitoring in this population.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830020PMC
http://dx.doi.org/10.1155/2018/8637101DOI Listing

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