Antihypertensive strategies and hypertension control in Sub-Saharan Africa

Pauline Cavagna^{1

2}, Méo Stéphane Ikama³, Kouadio Euloge Kramoh⁴, Jean Laurent Takombe⁵, Ibrahima Bara Diop⁶, Ibrahim Ali Toure⁷, Dadhi M Balde⁸, Anastase Dzudie⁹, Beatriz Ferreira¹⁰, Martin D Houenassi¹¹, Murielle Hounkponou¹¹, Adama Kane¹², Suzy G Kimbally-Kaki³, Samuel Kingue¹³, Charles Kouam Kouam¹⁴, Emmanuel Limbole^{5

15}, Liliane Mfeukeu Kuate^{14

16}, Jean Bruno Mipinda¹⁷, Roland N'guetta⁴, Carol Nhavoto¹⁰, Jean Marie Damorou¹⁸, Abdallahi Sidy Ali¹⁹, Bamba Gaye², Gabriel S Tajeu²⁰, Diane Macquart de Terline^{1

2

21}, Marie Cécile Perier², Michel Azizi^{22

23}, Xavier Jouven^{2

22}, Marie Antignac^{1

2}

Affiliations

¹ Department of Pharmacy, St Antoine Hospital, AP-HP Sorbonne Université, Paris, France.
² Paris Cardiovascular Research Centre, INSERM U970, Paris, France.
³ Cardiology Department, National University Hospital of Brazzaville, Marien NGOUABI University, Brazzaville, Congo.
⁴ Institute of Cardiology of Abidjan (Côte d'Ivoire), Côte d'Ivoire.
⁵ Department of Internal Medicine of la Gombe (CMCG), Ngaliema Hospital, Kinshasa, Democratic Republic of the Congo.
⁶ Cardiology Department, University Hospital of Fann, Dakar, Senegal.
⁷ Internal Medicine and Cardiology Department, University Hospital of Lamorde, Niamey University, Niger.
⁸ Department of Cardiology, University Hospital of Conakry, Guinea.
⁹ Cardiac Intensive Care & Cardiac Pacing Unit, Douala General Hospital, Cameroon.
¹⁰ Instituto do Coração (ICOR), Maputo, Mozambique.
¹¹ National University Hospital of Hubert K. MAGA (CNHU-HKM), Cotonou, Benin.
¹² Cardiology Department, University Hospital of Aristide Le Dantec, Dakar, Senegal.
¹³ University of Yaoundé, Ministry of Public Health, Cameroon.
¹⁴ Internal Medicine Department, Regional Hospital, Bafoussam, Cameroon.
¹⁵ Cardiology Department, University of Medicine of Kinshasa, Democratic Republic of the Congo.
¹⁶ Cardiology Department, Central Hospital of Yaoundé, Cameroon.
¹⁷ Cardiology Department, University Hospital of Libreville, Gabon.
¹⁸ Cardiology Department, Central Hospital of Lome, Lome, Togo.
¹⁹ Cardiology Clinics, Nouakchott, Mauritania.
²⁰ Department of Health Services Administration and Policy, Temple University, Philadelphia, PA, USA.
²¹ Cardiovascular Epidemiology Department, University of Paris, France.
²² Hypertension Unit, European Georges Pompidou Hospital, AP-HP, Paris, France.
²³ Institut National de la Santé et de la Recherche Médicale, Centre d'Investigation Clinique 1418, Paris, France, Cardiology Department, European Georges Pompidou Hospital, AP-HP Centre, Paris, France.

PMID: 32635766
PMCID: PMC8903050
DOI: 10.1177/2047487320937492

Antihypertensive strategies and hypertension control in Sub-Saharan Africa

Pauline Cavagna et al. Eur J Prev Cardiol. 2021.

. 2021 Sep 20;28(11):e21-e25.

doi: 10.1177/2047487320937492.

Authors

Affiliations

¹ Department of Pharmacy, St Antoine Hospital, AP-HP Sorbonne Université, Paris, France.
² Paris Cardiovascular Research Centre, INSERM U970, Paris, France.
³ Cardiology Department, National University Hospital of Brazzaville, Marien NGOUABI University, Brazzaville, Congo.
⁴ Institute of Cardiology of Abidjan (Côte d'Ivoire), Côte d'Ivoire.
⁵ Department of Internal Medicine of la Gombe (CMCG), Ngaliema Hospital, Kinshasa, Democratic Republic of the Congo.
⁶ Cardiology Department, University Hospital of Fann, Dakar, Senegal.
⁷ Internal Medicine and Cardiology Department, University Hospital of Lamorde, Niamey University, Niger.
⁸ Department of Cardiology, University Hospital of Conakry, Guinea.
⁹ Cardiac Intensive Care & Cardiac Pacing Unit, Douala General Hospital, Cameroon.
¹⁰ Instituto do Coração (ICOR), Maputo, Mozambique.
¹¹ National University Hospital of Hubert K. MAGA (CNHU-HKM), Cotonou, Benin.
¹² Cardiology Department, University Hospital of Aristide Le Dantec, Dakar, Senegal.
¹³ University of Yaoundé, Ministry of Public Health, Cameroon.
¹⁴ Internal Medicine Department, Regional Hospital, Bafoussam, Cameroon.
¹⁵ Cardiology Department, University of Medicine of Kinshasa, Democratic Republic of the Congo.
¹⁶ Cardiology Department, Central Hospital of Yaoundé, Cameroon.
¹⁷ Cardiology Department, University Hospital of Libreville, Gabon.
¹⁸ Cardiology Department, Central Hospital of Lome, Lome, Togo.
¹⁹ Cardiology Clinics, Nouakchott, Mauritania.
²⁰ Department of Health Services Administration and Policy, Temple University, Philadelphia, PA, USA.
²¹ Cardiovascular Epidemiology Department, University of Paris, France.
²² Hypertension Unit, European Georges Pompidou Hospital, AP-HP, Paris, France.
²³ Institut National de la Santé et de la Recherche Médicale, Centre d'Investigation Clinique 1418, Paris, France, Cardiology Department, European Georges Pompidou Hospital, AP-HP Centre, Paris, France.

PMID: 32635766
PMCID: PMC8903050
DOI: 10.1177/2047487320937492

No abstract available

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Conflict of interest statement

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

**Figure 1.**
Proportions of patients with uncontrolled hypertension. Grey countries were not included in the EIGHT study.

See this image and copyright information in PMC

References

1. GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018. 10; 392: 1923–1994. - PMC - PubMed
1. Adeloye D and Basquill C. Estimating the prevalence and awareness rates of hypertension in Africa: A systematic analysis. PLoS One 2014; 9: e104300. - PMC - PubMed
1. Attaei MW, Khatib R, McKee M, et al.. Availability and affordability of blood pressure-lowering medicines and the effect on blood pressure control in high-income, middle-income, and low-income countries: An analysis of the PURE study data. Lancet Public Health 2017; 2: e411–e419. - PubMed
1. Mutua EM, Gitonga MM, Mbuthia B, et al.. Level of blood pressure control among hypertensive patients on follow-up in a regional referral hospital in Central Kenya. Pan Afr Med J 2014; 18: 278. - PMC - PubMed
1. Antignac M, Diop IB, Macquart de Terline D, et al.. Socioeconomic status and hypertension control in Sub-Saharan Africa: The multination EIGHT study (Evaluation of Hypertension in Sub-Saharan Africa). Hypertension 2018; 71: 577–584. - PubMed

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Antihypertensive strategies and hypertension control in Sub-Saharan Africa

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Antihypertensive strategies and hypertension control in Sub-Saharan Africa

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