TY - JOUR AU - M A Ebrahim ,Zeeshan Hassan, PY - 2018/03/30 Y2 - 2024/03/28 TI - Prevalence of Essential Hypertension and Assessment of Cardiovascular Risk of Pakistani Adults in Outpatient Setting JF - Journal of Rawalpindi Medical College JA - JRMC VL - 22 IS - 1 SE - Articles DO - UR - http://www.journalrmc.com/index.php/JRMC/article/view/837 SP - AB - <p style="text-align: justify;"><strong>Background</strong>: To assess the prevalence of essential hypertension and evaluate cardiovascular risk in patients in Pakistan.<br><strong>Methods</strong>:This cross-sectional, non-interventional&nbsp;study was conducted at multiple centres throughout Pakistan. Data was collected from patients of either gender, ≥18 years of age, seeking routine medical consultation. Diagnosis and staging of hypertension was carried out using guidelines laid by Seventh Report of Joint National Committee (JNC 7). Genderwise<br>Framingham scores were calculated based on non-laboratory and laboratory parameters.<br><strong>Results</strong>: Out of 2336 patients evaluated, prevalence&nbsp;of hypertension and prehypertension was 51.5% and 31.4% , respectively. A total of 501 patients had coprevalent diabetes and hypertension. Ten-year<br>Framingham scores calculated using non-laboratory parameters showed 56% (947/1693) patients aged ≥30 years were at medium-to-high risk for cardiovascular disease (CVD). While Framingham scores based on laboratory or non-laboratory parameters were not significantly different for men, in women the nonlaboratory based score was higher. Angiotensinconverting enzyme inhibitors and calcium channel blockers were antihypertensive agents of choice.<br><strong>Conclusions</strong>: Since prevalence of prehypertension and hypertension in Pakistani adults continues to be on rise and substantial proportion of&nbsp;study population is at medium-to-high risk of developing CVD within the next 10 years, regular BP monitoring and risk scoring is mandated for identification of at-risk population and optimal management of CVD.</p> ER -