Factors Associated with Poor Blood Pressure Control in Hypertensive Patients followed up in the Cardiology Outpatient Consultation Unit of Yalgado Ouedraogo Teaching Hospital (CHU-YO)

Main Article Content

Koudougou Jonas Kologo
Yibar Kambire
Anna Tall-Thiam
Georges RC Millogo
Arthur TA Seghda
Eulalie W Kabore
Mohamadi Ouedraogo
R Aristide Yameogo
N Valentin Yameogo
André K Samandoulougou
Patrice Zabsonre

Abstract

Introduction/Objective: Identify the factors associated with poor blood pressure control in hypertensive patients followed up in the cardiology outpatient consultation unit of CHU-YO.
Methodology: This was a two-month cross-sectional study with a descriptive and analytical focus.
Results: A total of 288 hypertensive patients were included in the study. 137 cases had poor blood pressure control, representing 47.57% of the total. In terms of sociodemographic characteristics, females dominated at 67.4% with a sex ratio of 0.48, and the average age was 60.2 ± 13.9 years. Cardiovascular risk factors were dominated by dyslipidemia, which accounted for 53.5%. The average of cases with a previous history of hypertension was 7.1 ± 5.1 years. In terms of treatment, fixed dual therapy was predominant with a rate of 57.3%. In multivariate analysis, urban residence, the presence of acute complications, and poor treatment adherence were associated with poor blood pressure control.
Conclusion: This study highlights the key factors contributing to poor blood pressure in hypertensive patients, such as life in urban settings, complications such as strokes, and poor treatment adherence, emphasizing the importance of holistic management.

Article Details

Kologo, K. J., Kambire, Y., Tall-Thiam, A., Millogo, G. R., Seghda, A. T., Kabore, E. W., … Zabsonre, P. (2025). Factors Associated with Poor Blood Pressure Control in Hypertensive Patients followed up in the Cardiology Outpatient Consultation Unit of Yalgado Ouedraogo Teaching Hospital (CHU-YO). Journal of Cardiology and Cardiovascular Medicine, 127–132. https://doi.org/10.29328/journal.jccm.1001219
Research Articles

Copyright (c) 2025 Kologo KJ, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

1. Olatunbosun ST, Kaufman JS, Cooper RS, Bella AF. Hypertension in a black population: prevalence and biosocial determinants of high blood pressure in a group of urban Nigerians. J Hum Hypertens. 2000;14(4):249–57. Available from: https://doi.org/10.1038/sj.jhh.1000975

2. Cooper R, Rotimi C, Ataman S, McGee D, Osotimehin B, Kadiri S, et al. The prevalence of hypertension in seven populations of West African origin. Am J Public Health [Internet]. 1997 [cited 2024 May 23];87(2):160–8. Available from: https://doi.org/10.2105/ajph.87.2.160

3. Ogedegbe G, Gyamfi J, Plange-Rhule J, Surkis A, Rosenthal DM, Airhihenbuwa C, et al. Task shifting interventions for cardiovascular risk reduction in low-income and middle-income countries: a systematic review of randomised controlled trials. BMJ Open. 2014;4(10):e005983. Available from: https://doi.org/10.1136/bmjopen-2014-005983

4. Gourgari E, Dabelea D, Rother K. Modifiable risk factors for cardiovascular disease in children with type 1 diabetes: can early intervention prevent future cardiovascular events? Curr Diab Rep. 2017;17(12):134. Available from: https://doi.org/10.1007/s11892-017-0968-y

5. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19.1 million participants. Lancet. 2017;389(10064):37–55. Available from: https://doi.org/10.1016/s0140-6736(16)31919-5

6. World Health Organization. Hypertension [Internet]. [cited 2024 Apr 8]. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/hypertension

7. Diop M. Study of therapeutic adherence in hypertensive patients followed as outpatients in the cardiology department of the Ziguinchor Peace Hospital [thesis]. 2022. Available from: https://rivieresdusud.uasz.sn/handle/123456789/1439

8. World Health Organization. WHO releases first comprehensive report on devastating consequences of hypertension and ways to overcome it [Internet]. 2023 [cited 2024 Apr 8]. Available from: https://www.who.int/fr/news/item/19-09-2023-first-who-report-details-devastating-impact-of-hypertension-and-ways-to-stop-it

9. Bhagavathula AS, Shah SM, Aburawi EH. Prevalence, awareness, treatment, and control of hypertension in the United Arab Emirates: a systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18(23):12693. Available from: https://doi.org/10.3390/ijerph182312693

10. Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Lancet. 2016;388(10053):801–10. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979614/

11. Yaméogo NV, Kagambèga LJ, Millogo RC, Kologo KJ, Yaméogo AA, Mandi GD, et al. Factors associated with poor blood pressure control in hypertensive black Africans: cross-sectional study of 456 hypertensive patients from Burkina Faso. Ann Cardiol Angeiol (Paris). 2013;62(1):38–42. French. Available from: https://doi.org/10.1016/j.ancard.2012.05.001

12. Ogedegbe G, Gyamfi J, Plange-Rhule J, Surkis A, Rosenthal DM, Airhihenbuwa C, et al. Task shifting interventions for cardiovascular risk reduction in low-income and middle-income countries: a systematic review of randomised controlled trials. BMJ Open. 2014;4(10):e005983. Available from: https://doi.org/10.1136/bmjopen-2014-005983

13. Mesli MF, Raïah M, Mohammedi B, Dida A. Factors associated with poor blood pressure control in 253 treated hypertensive patients. Ann Cardiol Angeiol (Paris). 2015;64(1):32–8. French. Available from: https://doi.org/10.1016/j.ancard.2014.04.009

14. Siddikatou D, Fouedjio Kafack, Ndom S, Kamdem F. Prevalence and associated factors of high blood pressure in a Cameroonian community [Internet]. 2024 [cited 2024 Apr 8];25(2 Suppl 1). Available from: https://www.hsd-fmsb.org/index.php/hsd/article/view/5302

15. Schumann R. Clinico-biological factors associated with poor blood pressure control in treated hypertensive patients followed by general practitioners or cardiologists [Internet]. Available from: https://www.researchgate.net/publication/329267441_Facteurs_clinico-biologiques_associes_au_mauvais_controle_de_la_pression_arterielle_chez_des_patients_hypertendus_traites_suivis_par_des_medecins_generalistes_ou_des_cardiologues

16. El Kardoudi A, Chetoui A, Kaoutar K, Boutahar K, Elmoussaoui S, Chigr F, et al. Factors associated with poor blood pressure control in Moroccan hypertensive patients. Ann Cardiol Angeiol (Paris). 2022;71(3):141–7. Available from: https://doi.org/10.1016/j.ancard.2021.09.009

17. Menanga A, Edie S, Nkoke C, Boombhi J, Musa AJ, Mfeukeu LK, et al. Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a cross-sectional study. Cardiovasc Diagn Ther. 2016;6(5):439–45. Available from: https://doi.org/10.21037/cdt.2016.04.03

18. Millogo GRC, Zongo RFE, Benao A, Youl ENH, Bassoleth BAB, Ouédraogo M, et al. Prevalence and adverse effects of antihypertensive agents in patients followed up on an ambulatory basis at the University Hospital Yalgado Ouédraogo. Pan Afr Med J. 2018;29:84. Available from: https://doi.org/10.11604/pamj.2018.29.84.13754

19. Fourcade L, Paule P, Mafart B. Hypertension in sub-Saharan Africa: current events and perspectives. Med Sante Trop. 2007;67(6):559–67. French. Available from: https://www.jle.com/fr/MedSanteTrop/2007/67.6/559-567%20Hypertension%20art%C3%A9rielle%20en%20Afrique%20subsaharienne%20(Fourcade).pdf

20. Ikama MS, Nsitou BM, Makani J, Nkalla-Lambi M, Passi-Louamba C. Arterial hypertension and control in Brazzaville (Congo): role of ambulatory blood pressure monitoring (ABPM). Ann Cardiol Angeiol (Paris). 2015;64(2):76–80. Available from: https://doi.org/10.1016/j.ancard.2015.01.007

21. Bahloul A, Ellouze T, Hammami R, Charfeddine S, Triki S, Abid L, et al. Impact of socioeconomic factors on blood pressure control: observational study of 2887 hypertensive patients. Ann Cardiol Angeiol (Paris). 2021;70:259–65. French. Available from: https://www.scirp.org/reference/referencespapers?referenceid=3762250