Skip to main content
Journal cover image

Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka.

Publication ,  Journal Article
Zhu, A; Ostbye, T; Naheed, A; de Silva, HA; Jehan, I; Gandhi, M; Chakma, N; Kasturiratne, A; Samad, Z; Jafar, TH
Published in: J Clin Hypertens (Greenwich)
April 2024

Hypertension is a leading risk factor for cardiovascular disease in South Asia. The authors aimed to assess the cross-country differences in 24-h ambulatory, daytime, and nighttime systolic blood pressure (SBP) among rural population with uncontrolled clinic hypertension in Bangladesh, Pakistan, and Sri Lanka. The authors studied patients with uncontrolled clinic hypertension (clinic BP ≥ 140/90 mmHg) who underwent ambulatory blood pressure monitoring (ABPM) during the baseline assessment as part of a community-based trial. The authors compared the distribution of ABPM profiles of patients across the three countries, specifically evaluating ambulatory SBP levels with multivariable models that adjusted for patient characteristics. Among the 382 patients (mean age, 58.3 years; 64.7% women), 56.5% exhibited ambulatory hypertension (24-h ambulatory BP ≥ 130/80 mmHg), with wide variation across countries: 72.6% (Bangladesh), 50.0% (Pakistan), and 51.0% (Sri Lanka; P < .05). Compared to Sri Lanka, adjusted mean 24-h ambulatory, daytime, and nighttime SBP were higher by 12.24 mmHg (95% CI 4.28-20.20), 11.96 mmHg (3.87-20.06), and 12.76 mmHg (4.51-21.01) in Bangladesh, separately. However, no significant differences were observed between Pakistan and Sri Lanka (P > .05). Additionally, clinic SBP was significantly associated with 24-h ambulatory (mean 0.38, 95% CI 0.28-0.47), daytime (0.37, 0.27-0.47), and nighttime SBP (0.40, 0.29-0.50) per 1 mmHg increase. The authors observed substantial cross-country differences in the distribution of ABPM profiles among patients with uncontrolled clinic hypertension in rural South Asia. The authors findings indicated the need to incorporate 24-h BP monitoring to mitigate cardiovascular risk, particularly in Bangladesh.

Duke Scholars

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

April 2024

Volume

26

Issue

4

Start / End Page

391 / 404

Location

United States

Related Subject Headings

  • Sri Lanka
  • Pakistan
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Female
  • Cardiovascular System & Hematology
  • Blood Pressure Monitoring, Ambulatory
  • Blood Pressure
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zhu, A., Ostbye, T., Naheed, A., de Silva, H. A., Jehan, I., Gandhi, M., … Jafar, T. H. (2024). Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka. J Clin Hypertens (Greenwich), 26(4), 391–404. https://doi.org/10.1111/jch.14787
Zhu, Anqi, Truls Ostbye, Aliya Naheed, H Asita de Silva, Imtiaz Jehan, Mihir Gandhi, Nantu Chakma, Anuradhani Kasturiratne, Zainab Samad, and Tazeen Hasan Jafar. “Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka.J Clin Hypertens (Greenwich) 26, no. 4 (April 2024): 391–404. https://doi.org/10.1111/jch.14787.
Zhu A, Ostbye T, Naheed A, de Silva HA, Jehan I, Gandhi M, et al. Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka. J Clin Hypertens (Greenwich). 2024 Apr;26(4):391–404.
Zhu, Anqi, et al. “Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka.J Clin Hypertens (Greenwich), vol. 26, no. 4, Apr. 2024, pp. 391–404. Pubmed, doi:10.1111/jch.14787.
Zhu A, Ostbye T, Naheed A, de Silva HA, Jehan I, Gandhi M, Chakma N, Kasturiratne A, Samad Z, Jafar TH. Ambulatory blood pressure levels in individuals with uncontrolled clinic hypertension across Bangladesh, Pakistan, and Sri Lanka. J Clin Hypertens (Greenwich). 2024 Apr;26(4):391–404.
Journal cover image

Published In

J Clin Hypertens (Greenwich)

DOI

EISSN

1751-7176

Publication Date

April 2024

Volume

26

Issue

4

Start / End Page

391 / 404

Location

United States

Related Subject Headings

  • Sri Lanka
  • Pakistan
  • Middle Aged
  • Male
  • Hypertension
  • Humans
  • Female
  • Cardiovascular System & Hematology
  • Blood Pressure Monitoring, Ambulatory
  • Blood Pressure