Day :
Keynote Forum
J.NGUADI
University
Keynote: Peculiarities of hypertension treatment in a particular black population: Moroccan black people
Biography:
Abstract:
Introduction
Historically, the Moroccan black population is heterogeneous, originating from Arab and sub-Saharan immigration, and Amazigh, an indigenous population. This study, first of its kind, allows to determine the peculiarities of hypertension in this population, in particular the response to the different therapeutic classes, which makes it possible to compare the results found with those of the studies carried out on the sub-Saharan or American black population.
Materials and methods :
This is a transverse prospective analytic study of Black Moroccan patients explored in the cardiology consultation center at the Mohamed V Military Hospital of Rabat, over a 12-month period from June 2018 to June 2019 with a total of 50 patients.
Inclusion criteria were an essential hypertension of recent (less than 1 year) discovery in patients aged 45 to 55 years who do not have any other cardiovascular risk factors : no diabetes, no dyslipidemia, no smoking or weaning from over 15 years, and without an associated pathology in particular no renal, cardiovascular, ocular or cerebral damages, presenting a poorly balanced hypertension on diet alone.
The eligible population was started on monotherapy ; 15 on ACE Inhibitors, 20 on Calcium channel blockers, and 15 on thiazide diuretics, and was followed monthly on an outpatient basis and was subjected to standardized interrogation, complete physical examination and ambulatory blood pressure monitoring by the same device, explaining to the patient the correct method of BP measurement.
Results and discussion
Our study concluded that thiazide diuretics and calcium channel blockers are more effective than ACE Inhibitors, which is consistent with studies of the American black population, including the ALLHAT study.
Introduction
Historically, the Moroccan black population is heterogeneous, originating from Arab and sub-Saharan immigration, and Amazigh, an indigenous population. This study, first of its kind, allows to determine the peculiarities of hypertension in this population, in particular the response to the different therapeutic classes, which makes it possible to compare the results found with those of the studies carried out on the sub-Saharan or American black population.
Materials and methods :
This is a transverse prospective analytic study of Black Moroccan patients explored in the cardiology consultation center at the Mohamed V Military Hospital of Rabat, over a 12-month period from June 2018 to June 2019 with a total of 50 patients.
Inclusion criteria were an essential hypertension of recent (less than 1 year) discovery in patients aged 45 to 55 years who do not have any other cardiovascular risk factors : no diabetes, no dyslipidemia, no smoking or weaning from over 15 years, and without an associated pathology in particular no renal, cardiovascular, ocular or cerebral damages, presenting a poorly balanced hypertension on diet alone.
The eligible population was started on monotherapy ; 15 on ACE Inhibitors, 20 on Calcium channel blockers, and 15 on thiazide diuretics, and was followed monthly on an outpatient basis and was subjected to standardized interrogation, complete physical examination and ambulatory blood pressure monitoring by the same device, explaining to the patient the correct method of BP measurement.
Results and discussion
Our study concluded that thiazide diuretics and calcium channel blockers are more effective than ACE Inhibitors, which is consistent with studies of the American black population, including the ALLHAT study.