Abstract
Background
Hypertension remains a significant global health concern due to its high incidence and association with cardiovascular diseases, stroke, and other complications. This research aimed to determine the dynamics of blood pressure control over the course of disease management, focusing on the systolic and diastolic readings at baseline and at the time of the study and on the number of years of patient management and sex.
Methods
A retrospective study with a multicenter approach was used. The information of a total of 373 patients was collected and analyzed using Python and SPSS.
Results
Overall, 72.9% of the patients were female, and 27.1% were male. The mean age was 62.57 ± 0.635 years. A regression model was used to evaluate the associations between the number of years of hypertension management, systolic anddiastolic BP at first diagnosis and current systolic and diastolic BP at R-square, (13.2% and 29.2%, respectively; p<0.01). There was a significant reduction in the systolic BP before (M = 157.01 ± 28.159) compared to after (M =138.07 ± 19.591), t (372) = 12.959, p <0.001. Similarly, the results showed a significant reduction in the diastolic BP of the patients before (M = 91.85 ± 15.934) compared to after (M =85.19 ± 12.955), t (372) = 9.062, p <0.001. There was a greater systolic BP at first diagnosis in males than in females.
Conclusions
The number of years of hypertension management and BP at first diagnosis may be associated with the outcome of management. Appropriate treatment combinations involving two classes of antihypertensive drugs may encourage patient adherence and yield positive outcomes.