Search

Your search keyword '"Anissa Joulak"' showing total 9 results
Start Over Author "Anissa Joulak"
9 results on '"Anissa Joulak"'

1. Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)

Author

Leila Abid, Rania Hammami, Ikram Chamtouri, Meriam Drissa, Selim Boudiche, MohamedAmine Bahloul, Hedi BenSlima, Khaled Sayahi, Selma Charfeddine, Emna Allouche, Lamia Rais, Badr Kaab, Hassen IbnHadjamor, Lilia BenFatma, Riadh Garbaa, Sabrine Boukhris, Manel Ben Halima, Nesrine Amdouni, Chaima Ghorbel, Sabrine Soudani, Imen Khaled, Syrine Triki, Feten Bouazizi, Imen Jemai, Ouday Abdeljalil, Yemna Ammar, Amani Farah, Adnen Neji, Zeineb Oumayma, Sana Seghaier, Samir Mokrani, Hamza Thawaba, Hela Sarray, Khalil Ouaghlani, Houssem Thabet, Zeineb Mnif, Fatma Boujelban, Mohamed Sghaier, Roueida Khalifa, Sami Fourati, Yasmin Kammoun, Syrine Abid, Chihab Hamza, Syrine Ben Jeddou, Lassaad Sabbah, Rim Lakhdhar, Najla Dammak, Tarek Sellami, Basma Herbegue, Alia Koubaa, Faten Triki, Tarek Ellouz, Aicha Hmoudi, Ikhlas BenAmeur, MohamedMongi Boukhchina, Neila Abid, Wejdene Wachtati, Nizar Nasrallah, Yousra Houidi, Fathia Meghaieth, Elhem Ghodhbane, Mounira Chayeb, Sarra Chenik, Samira Kaabachi, Nizar Saadaoui, Ines BenAmeur, Moufida Affes, Sana Ouali, Mouna Chaker, Hela Naanaa, Meriem Dghim, Mourad Jarrar, Jihene Mnif, Ahmed Turki, Ihsen Zairi, Jamel Langar, Safa Dardouri, Imen Hchaichi, Rafik Chettaoui, Wajih Essmat, Amel Chakroun, Khadija Mzoughi, Rachid Mechmeche, Afef BenHalima, Sahar BenKhala, Slim Chtourou, Abdelkader Maalej, Mohsen Ayari, Moufid Hadrich, Rami Tlili, Fares Azaiez, Imen Bouhlel, Samira Sahnoun, Habib Jerbi, Imtinene BenMrad, Leila Riahi, Mohamed Sahnoun, Abdelhamid BenJemaa, Amel BenSalem, Bassem Rekik, Maroua BenDoudou, Rachid Boujneh, Anissa Joulak, Yosra Mejdoub, Imen Gtif, Gouider Jribi, Elyes Naffeti, Habib Gamra, Soraya BenYousef, Wissem Sdiri, Najeh BenHalima, Youssef BenAmeur, Salem Kachboura, Sondes Kraiem, Wafa Fehri, Leila Bazdeh, MohamedSami Mourali, Sami Milouchi, Habiba Drissa, Faouzi Maatouk, Lilia Zakhama, Faouzi Addad, Samir Kammoun, and Salem Abdesselem

Subjects
Hypertension, Blood pressure control, Epidemiology, Predictors, Registry, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Abstract Background Hypertension is the leading cause of morbi-mortality in our country. Thus, we conducted this national survey on hypertension to analyze the profile of the Tunisian hypertensive patient and to assess the level of blood pressure control. Methods Nature HTN is an observational multicentric survey, including hypertensive individuals and consulting their doctors during the period of the study. Blood pressure measurements were conducted during consultation, using a standardized auscultatory or oscillometric sphygmomanometer after at least 15 min of rest. The diagnosis of new hypertension is based on the 2018 ESC/ESH criteria. The primary endpoint of our study was uncontrolled hypertension defined by a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Results Three hundred twenty-one investigators participated in the study. We enrolled 25,890 patients with a female predominance (Sex ratio, 1.21) and an average age of 64.4 ± 12.2 years. Most individuals were treated in the public sector (74%), 39.4% of patients were diabetic, 25.8% were obese, 44.6% were overweight and 14% were smokers. Hypertension was controlled in 51.7% of cases if we consider 140/90 as a BP target, and only in 18.6% if we consider 130/80 as a target. The independent predictors of uncontrolled blood pressure were male sex (OR = 1.09, 95%CI [1.02–1.16]), age > 65 year-old (OR = 1.07, 95% CI[1.01–1.13], diabetes (OR = 1.18, 95% CI [1.11–1.25], Smoking (OR = 1.15, 95% CI [1.05–1.25]), Obesity (OR = 1.14, 95% CI[1.07–1.21]), management in public sector (OR = 1.25, 95% CI [1.16–1.34]), and Heart rate > 80 bpm (OR = 1.59, 95% CI [1.48–1.71]). Contrarily, high educational level (OR = 0.9, 95% CI [0.84–0.97], absence of history of coronary disease (OR = 0.86, 95% CI [0.8–0.93]), salt restriction (OR = 0.48, 95% CI [0.45–0.51]), drug compliance (OR = 0.57, 95% CI[0.52–0.61]), and regular physical activity (OR = 0.77, 95% CI[0.71–0.84]) are strong predictors of blood pressure control. Conclusion NaTuRe HTN showed that blood pressure control was reached in more than half of the Tunisian people. The control remains low in patients with high cardiovascular profiles and in those treated in the public sector. A national health program based on therapeutic education, regular control and continuous support to the public institutions is needed to decrease the burden of hypertension incidence rate.

Published
2022
Full Text
View/download PDF

2. Design and Rationale of the National Observational Multicentric Tunisian Registry of Hypertension: Protocol for Evaluating Hypertensive Patient Care in Clinical Practice

Author

Leila Abid, Rania Hammami, Salem Abdesselem, Selim Boudiche, Ben Slima Hédi, Khaled Sayahi, Amine Bahloul, Ikram Chamtouri, Salma Charfeddine, Lamia Rais, Meriem Drissa, Badreddine Ben Kaab, Hassen Ibn hadj amor, Lilia Ben Fatma, Riadh Garbaa, Sabrine Boukhris, Allouche Emna, Manel Ben Halima, Nesrine Amdouni, Shayma Ghorbel, Sabrine Soudani, Imen Khaled, Syrine Triki, Feten Bouazizi, Imen Jemai, Ouday Abdeljalil, Yemna Ammar, Amani Farah, Adnen Neji, Zeineb Oumaya, Sana Seghaier, Samir Mokrani, Hamza Thawaba, Hela Sarray, Khalil Ouaghlani, Houssem Thabet, Zeineb Mnif, Boujelben Masmoudi Fatma, Mohamed Sghaier, Roueida Khalifa, Sami Fourati, Yassmine Kammoun, Syrine Abid, Chiheb Hamza, Syrine Ben Jeddou, Lassaad Sabbah, Rim Lakhdhar, Najla Dammak, Tarak Sellami, Basma Herbegue, Alia Koubaa, Faten Triki, Tarek Ellouze, Aicha Hmoudi, Ikhlas Ben Ameur, Mohamed Mongi Boukhchina, Neila Abid, Wejdene Ouechtati, Nizar Nasrallah, Yousra Houidi, Fathia Mghaieth Zghal, Ghodhbane Elhem, Mounira Chayeb, Chenik Sarra, Samira Kaabachi, Nizar Saadaoui, Ines Ben Ameur, Moufida Affes, Sana Ouali, Mouna Chaker, Hela Naana, Dghim Meriem, Mourad Jarrar, Jihen Mnif, Ahmed Turki, Ihsen Zairi, Jamel Langar, Safa Dardouri, Imen Hachaichi, Rafik Chettaoui, Wajih Smat, Amel Chakroun, Khadija Mzoughi, Rachid Mechmeche, Afef Ben Halima, Sahar Ben Kahla Koubaa, Slim Chtourou, Maalej Mohamed abdelkader, Mohsen Ayari, Moufid Hadrich, Tlili Rami, Fares Azaiez, Imen Bouhlel, Samir Sahnoun, Habib Jerbi, Ben Mrad Imtinene, Leila Riahi, Mohamed Sahnoun, Abdelhamid Ben Jemaa, Amal Ben Salem, Bassem Rekik, Maroua Ben Doudou, Mohamed Rachid Boujnah, Anissa Joulak, Abid Omar, Rabie Razgallah, Milouchi Sami, Elyes Neffati, Habib Gamra, Soraya Ben Youssef, Wissem Sdiri, Nejeh Ben Halima, Youssef Ben Ameur, Salem Kachboura, Sondes Kraiem, Wafa Fehri, Lilia Zakhama, leila Bezdah, Mourali Mohamed Sami, Habiba Drissa, Mohamed Faouzi Maatouk, Samir Kammoun, and Faouzi Addad

Subjects
Medicine, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

BackgroundThis study was designed to evaluate the care of hypertensive patients in daily clinical practice in public and private centers in all Tunisian regions. ObjectiveThis study will provide us an overview of hypertension (HTN) management in Tunisia and the degree of adherence of practitioners to international recommendations. MethodsThis is a national observational cross-sectional multicenter study that will include patients older than 18 years with HTN for a duration of 4 weeks, managed in the public sector from primary and secondary care centers as well as patients managed in the private sector. Every participating patient signed a consent form. The study will exclude patients undergoing dialysis. The parameters that will be evaluated are demographic and anthropometric data, lifestyle habits, blood pressure levels, lipid profiles, treatment, and adherence to treatment. The data are collected via the web interface in the Dacima Clinical Suite. ResultsThe study began on April 15, 2019 and ended on May 15, 2019. During this period, we included 25,890 patients with HTN. Data collection involved 321 investigators from 24 Tunisian districts. The investigators were doctors working in the private and public sectors. ConclusionsObservational studies are extremely useful in improving the management of HTN in developing countries. Trial RegistrationClinicalTrials.gov NCT04013503; https://clinicaltrials.gov/ct2/show/NCT04013503 International Registered Report Identifier (IRRID)DERR1-10.2196/21878

Published
2022
Full Text
View/download PDF

3. Epidemiological characteristics, management, and outcomes of atrial fibrillation in <scp>TUNISIA</scp> : Results from the National Tunisian Registry of Atrial Fibrillation ( <scp>NATURE‐AF</scp> )

Author

Wejdene Wechtati, Wafa Fehri, Oussema Ben Rejab, Leila Riahi, Ali Neji, Feriel Baraket, Majed Hassine, Wacef Ayadi, Foued Azzouzi, Jawher Zemni, Rachid Mechmeche, Sofiene Kammoun, Monia Jammali, Emna Allouche, Khaled Sayahi, Mahmoud Cheikh Bouhlel, Habib Gamra, Rym Jemli, Rim Chrigui, Sanaa Islem, Mohamed Ali Meghaieth, Rawdha Othmani, Med Ali Azaiez, Kais Battikh, Hajer Rekik, Saoussen Antit, Tarek Najar, Sondes Kraiem, Iheb Chahbani, Riadh Garbaa, Manel Ben Halima, Salem Kachboura, Faouzi Addad, Rafik Chettaoui, Ikram Kammoun, Wissem Sdiri, Dorra Mbarek, Syrine Abid, Ali Ben Khalfallah, Mohamed Hmem, Sonia Chabrak, Khadija Mzoughi, Samir Kammoun, Slim Kacem, Soraya Ben Youssef, Khaled Ben Jemaa, Afef Ben Halima, Meriem Drissa, Mbarek Mohamed Ben, Hanene Charfeddine, Sami Braham, Wajih Smati, Habiba Drissa, Sami Milouchi, Amel Ouerghi, Zeynab Jebbari, Essia Boughzela, Sandrine Haidar, Salem Abdesselem, Mehdi Ben Miled, Sana Ouali, Hassen Ajmi, Malek Mezri, Rami Tlili, Leila Abid, Anissa Gharbi, Ridha Ennouri, Sonia Marrakchi, Faouzi Maatouk, Lilia Zakhama, Ali Guesmi, Mourad Jarrar, Mokdad Ayari, Sihem Heraiech, Habib Bousadia, Mariem Ben Romdhane, Hamda Zaghdoudi, Karim Ben Brahim, Leila Bezdah, Taha Ounissi, Hela Naanea, Wided Nasraoui, Basma Trimech, Gouider Jridi, Salma Krichane, Selma Charfeddine, Anissa Joulak, Larbi Noureddine, Abdeddayem Haggui, Moufid Hadrich, Karim Zoughi, Wassim Brahim, Fehmi Abbes Mohamed, Mohamed Sami Mourali, Leila Hached, Samir Tlili, Samira Kaabachi, and Nabil Hamrouni

Subjects
Male, medicine.medical_specialty, Tunisia, Antithrombotic Agent, medicine.medical_treatment, Clinical Investigations, Context (language use), 030204 cardiovascular system & hematology, Antiarrhythmic agent, outcomes, Amiodarone, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, Atrial Fibrillation, Epidemiology, medicine, Humans, Prospective Studies, Registries, 030212 general & internal medicine, anticoagulation, risk scores, Framingham Risk Score, business.industry, Anticoagulants, Atrial fibrillation, General Medicine, North Africa, medicine.disease, Stroke, Epidemiological transition, Female, Cardiology and Cardiovascular Medicine, business, management, medicine.drug
Abstract

Background Contemporary registries on atrial fibrillation (AF) are scare in North African countries. Hypothesis In the context of the epidemiological transition, prevalence of valvular AF in Tunisia has decreased and the quality of management is still suboptimal. Methods NATURE‐AF is a prospective Tunisian registry, involving consecutive patients with AF from March 1, 2017 to May 31, 2017, with a one‐year follow‐up period. All the patients with an Electrocardiogram‐documented AF, confirmed in the year prior to enrolment were eligible. The epidemiological characteristics and outcomes were described. Results A total of 915 patients were included in this study, with a mean age of 64.3 ± 22 years and a male/female sex ratio of 0.93. Valvular AF was identified in 22.4% of the patients. The mean CHA2DS2VASC score in nonvalvular AF was 2.4 ± 1.6. Monotherapy with antiplatelet agents was prescribed for 13.8% of the patients. However, 21.7% of the subjects did not receive any antithrombotic agent. Oral anticoagulants were prescribed for half of the patients with a low embolic risk score. In 341 patients, the mean time in therapeutic range was 48.87 ± 28.69%. Amiodarone was the most common antiarrhythmic agent used (52.6%). During a 12‐month follow‐up period, 15 patients (1.64%) had thromboembolism, 53 patients (5.8%) had major hemorrhage, and 52 patients (5.7%) died. Conclusions NATURE‐AF has provided systematic collection of contemporary data regarding the epidemiological and clinical characteristics as well as the management of AF by cardiologists in Tunisia. Valvular AF is still prevalent and the quality of anticoagulation was suboptimal.

Published
2021

4. Clinical Practice Guidelines. Management of Hypertension in Tunisian Adults

Author

Leila, Abid, Lilia, Zakhama, Raja, Trabelsi, Salem, Abdesslem, Leila, Alouane, Leila, Bezdah, Meriem, Drissa, Olfa, Essaies, Rim, Goucha, Anissa, Joulak, Faten, Triki, Dorsaf, Zellama, Meriem, Abdelkafi, Sihem, Aidli, Hassen, Belhaj Amor, Badreddine, Ben Kaab, Leila, Bessaadi, Sonia, Bouallegue, Imen, Boukhris, Hanene, Ghazeli, Kais, Guezmir, Rania, Hammami, Nesrine, Hasni, Jamila, Hssine, Alia, Koubaa, Rafika, Mansouri, Fathia, Mghaieth, Sami, Milouchi, Sonia, Ouali Hammami, Fatma, Said, Wissem, Sdiri, Afef, Skhiri, Samiha, Toumi, Meriem, Yazidi, Hella, Ouertatani, Mohamed, Ben Hamouda, Asma, Ben Brahem, Khalil, Jlassi, Chaima, Ayari, Rania, Chaabene, and Chokri, Hamouda

Subjects
Adult, Hypertension, Humans, Medical History Taking
Published
2022

5. Epidemiologic features and Management of Hypertension in Tunisia, the results from the NAtional TUnisian REgistry of HyperTensioN (NaTuRe HTN) about 25890 patients

Author

MohamedSami Mourali, Anissa Joulak, Imen Jemai, Ihsen Zairi, Wajih Essmat, Hela Sarray, Alia Koubaa, Badr Kaab, Sami Fourati, Sana Ouali, Rania Hammami, Syrine Abid, Chihab Hamza, Youssef BenAmeur, Hela Naanaa, Maroua BenDoudou, Houssem Thabet, Mounira Chayeb, Khalil Ouaghlani, Imen Khaled, Jamel Langar, Imtinene BenMrad, Lamia Rais, Najla Dammak, Samir Mokrani, Roueida Khalifa, Imen Hchaichi, Ahmed Turki, Samir Kammoun, Elyes Naffeti, Rachid Boujneh, Mohamed Sahnoun, Aicha Hmoudi, Basma Herbegue, Abdelkader Maalej, Amani Farah, Tarek Sellami, Ikram Chatmouri, Wissem Sdiri, MohamedAmine Bahloul, Leila Riahi, Faouzi Addad, Samira Sahnoun, MohamedMongi Boukhchina, Feten Bouazizi, Wejdene Wachtati, Afef BenHalima, Safa Dardouri, Khaled Sayahi, Slim Chtourou, Hedi BenSlima, Sondes Kraiem, Syrine Triki, Nesrine Amdouni, Khadija Mzoughi, Moufid Hadrich, Nizar Nasrallah, Salem Abdesselem, Imen Bouhlel, Leila Bazdeh, Hamza Thawaba, Syrine Ben Jeddou, Riadh Garbaa, Meriam Drissa, Sana Seghaier, Yemna Ammar, Faten Triki, Mouna Chaker, Nizar Saadaoui, Selim Boudiche, Hassen IbnHadjamor, Sahar BenKhala, Tarek Ellouz, Ines BenAmeur, Sabrine Boukhris, Selma Charfeddine, Ikhlas BenAmeur, Gouider Jribi, Zeineb Oumayma, Elhem Ghodhbane, Mohamed Sghaier, Moufida Affes, Adnen Neji, Rachid Mechmeche, Faouzi Maatouk, Manel Ben Halima, Leila Abid, Sami Milouchi, Meriem Dghim, Amel BenSalem, Fathia Meghaieth, Fatma Boujelban, Imen gtif, Sarra Chenik, Sabrine Soudani, Amel Chakroun, Abdelhamid BenJemaa, Salem Kachboura, Yasmin Kammoun, Yousra Houidi, Fares Azaiez, Bassem Rekik, Chaima Ghorbel, Zeineb Mnif, Habib Jerbi, Samira Kaabachi, Neila Abid, Yosra Mejdoub, Rim Lakhdhar, Jihene Mnif, Lilia BenFatma, Rami Tlili, Rafik Chettaoui, Mourad Jarrar, Lassaad Sabbah, Najeh BenHalima, Soraya BenYousef, Habib Gamra, Habiba Drissa, Mohsen Ayari, Ouday Abdeljalil, Wafa Fehri, Lilia Zakhama, and Emna Allouche

Abstract

BackgroundHypertension is the leading cause of morbi-moratlity in low, middle as well as high incomes countries. Tunisia is a developing country with a high cardiovascular profile and the prevalence of hypertension has widely increased during the last decades. Thus, we conducted this national survey on hypertension to analyze the profile of the Tunisian hypertensive patient and to assess the level of blood pressure control. MethodsNature HTN is an observational multicentric survey, including hypertensive individuals and consulting their doctors during the period of the study. The primary endpoint of our study was uncontrolled hypertension defined by a systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90mmHg. Our objective is to assess the predictors of uncontrolled hypertension in our population. Results Three hundred twenty one investigators from all the Tunisian governorates participated in the study. We enrolled 25890 patients with a female predominance (Sex ratio 1.21) and an average age 64.4±12.2 year-old. Most of individuals were treated in the public sector (74%), 39.4% of patients were diabetic, 25.8% were obese, 44.6% were overweight and 14% were smokers. Hypertension was controlled in 51.7% of cases if we consider 140/90 as BP target and only in 18.6% if we consider 130/80 as a target. The independents predictors of uncontrolled blood pressure were male sex (OR=1.09, 95%CI [1.02-1.16]), age> 65 year-old (OR=1.07, 95% CI[1.01-1.13], diabetes (OR=1.18, 95% CI [1.11-1.25], Smoking (OR=1.15, 95% CI [1.05-1.25]), Obesity (OR=1.14, 95% CI[1.07-1.21]), management in public sector (OR=1.25, 95% CI [1.16-1.34]) and Heart rate >80bpm (OR=1.59, 95% CI [1.48-1.71]). Contrarily, high educational level (OR=0.9, 95% CI [0.84-0.97], absence of history of coronary disease (OR=0.86, 95% CI [0.8-0.93]), salt restriction (OR=0.48, 95% CI [0.45-0.51]), drug compliance (OR=0.57, 95% CI[0.52-0.61]) and regular physical activity (OR=0.77, 95% CI[0.71-0.84]) are strong predictors of blood pressure control. Conclusion Nature HTN showed a remarkable improvement of blood pressure control amongst Tunisian people. The control remains low in patients with high cardiovascular profile and those treated in the public sector. A national health program based on therapeutic education, regular control and continuous giving much support to the public institutions is needed to decrease the hypertension burden affection rate in our population.

Published
2021

6. Epidemiologic features and management of hypertension in Tunisia, the results from the Hypertension National Registry (NaTuRe HTN)

Author

Leila Abid, Rania Hammami, Ikram Chamtouri, Meriam Drissa, Selim Boudiche, MohamedAmine Bahloul, Hedi BenSlima, Khaled Sayahi, Selma Charfeddine, Emna Allouche, Lamia Rais, Badr Kaab, Hassen IbnHadjamor, Lilia BenFatma, Riadh Garbaa, Sabrine Boukhris, Manel Ben Halima, Nesrine Amdouni, Chaima Ghorbel, Sabrine Soudani, Imen Khaled, Syrine Triki, Feten Bouazizi, Imen Jemai, Ouday Abdeljalil, Yemna Ammar, Amani Farah, Adnen Neji, Zeineb Oumayma, Sana Seghaier, Samir Mokrani, Hamza Thawaba, Hela Sarray, Khalil Ouaghlani, Houssem Thabet, Zeineb Mnif, Fatma Boujelban, Mohamed Sghaier, Roueida Khalifa, Sami Fourati, Yasmin Kammoun, Syrine Abid, Chihab Hamza, Syrine Ben Jeddou, Lassaad Sabbah, Rim Lakhdhar, Najla Dammak, Tarek Sellami, Basma Herbegue, Alia Koubaa, Faten Triki, Tarek Ellouz, Aicha Hmoudi, Ikhlas BenAmeur, MohamedMongi Boukhchina, Neila Abid, Wejdene Wachtati, Nizar Nasrallah, Yousra Houidi, Fathia Meghaieth, Elhem Ghodhbane, Mounira Chayeb, Sarra Chenik, Samira Kaabachi, Nizar Saadaoui, Ines BenAmeur, Moufida Affes, Sana Ouali, Mouna Chaker, Hela Naanaa, Meriem Dghim, Mourad Jarrar, Jihene Mnif, Ahmed Turki, Ihsen Zairi, Jamel Langar, Safa Dardouri, Imen Hchaichi, Rafik Chettaoui, Wajih Essmat, Amel Chakroun, Khadija Mzoughi, Rachid Mechmeche, Afef BenHalima, Sahar BenKhala, Slim Chtourou, Abdelkader Maalej, Mohsen Ayari, Moufid Hadrich, Rami Tlili, Fares Azaiez, Imen Bouhlel, Samira Sahnoun, Habib Jerbi, Imtinene BenMrad, Leila Riahi, Mohamed Sahnoun, Abdelhamid BenJemaa, Amel BenSalem, Bassem Rekik, Maroua BenDoudou, Rachid Boujneh, Anissa Joulak, Yosra Mejdoub, Imen Gtif, Gouider Jribi, Elyes Naffeti, Habib Gamra, Soraya BenYousef, Wissem Sdiri, Najeh BenHalima, Youssef BenAmeur, Salem Kachboura, Sondes Kraiem, Wafa Fehri, Leila Bazdeh, MohamedSami Mourali, Sami Milouchi, Habiba Drissa, Faouzi Maatouk, Lilia Zakhama, Faouzi Addad, Samir Kammoun, and Salem Abdesselem

Subjects
Male, Cross-Sectional Studies, Tunisia, Risk Factors, Hypertension, Humans, Female, Registries, Middle Aged, Cardiology and Cardiovascular Medicine, Aged
Abstract

Background Hypertension is the leading cause of morbi-mortality in our country. Thus, we conducted this national survey on hypertension to analyze the profile of the Tunisian hypertensive patient and to assess the level of blood pressure control. Methods Nature HTN is an observational multicentric survey, including hypertensive individuals and consulting their doctors during the period of the study. Blood pressure measurements were conducted during consultation, using a standardized auscultatory or oscillometric sphygmomanometer after at least 15 min of rest. The diagnosis of new hypertension is based on the 2018 ESC/ESH criteria. The primary endpoint of our study was uncontrolled hypertension defined by a systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Results Three hundred twenty-one investigators participated in the study. We enrolled 25,890 patients with a female predominance (Sex ratio, 1.21) and an average age of 64.4 ± 12.2 years. Most individuals were treated in the public sector (74%), 39.4% of patients were diabetic, 25.8% were obese, 44.6% were overweight and 14% were smokers. Hypertension was controlled in 51.7% of cases if we consider 140/90 as a BP target, and only in 18.6% if we consider 130/80 as a target. The independent predictors of uncontrolled blood pressure were male sex (OR = 1.09, 95%CI [1.02–1.16]), age > 65 year-old (OR = 1.07, 95% CI[1.01–1.13], diabetes (OR = 1.18, 95% CI [1.11–1.25], Smoking (OR = 1.15, 95% CI [1.05–1.25]), Obesity (OR = 1.14, 95% CI[1.07–1.21]), management in public sector (OR = 1.25, 95% CI [1.16–1.34]), and Heart rate > 80 bpm (OR = 1.59, 95% CI [1.48–1.71]). Contrarily, high educational level (OR = 0.9, 95% CI [0.84–0.97], absence of history of coronary disease (OR = 0.86, 95% CI [0.8–0.93]), salt restriction (OR = 0.48, 95% CI [0.45–0.51]), drug compliance (OR = 0.57, 95% CI[0.52–0.61]), and regular physical activity (OR = 0.77, 95% CI[0.71–0.84]) are strong predictors of blood pressure control. Conclusion NaTuRe HTN showed that blood pressure control was reached in more than half of the Tunisian people. The control remains low in patients with high cardiovascular profiles and in those treated in the public sector. A national health program based on therapeutic education, regular control and continuous support to the public institutions is needed to decrease the burden of hypertension incidence rate.

Published
2021

8. Lipomatous hypertrophy of the interatrial septum

Author

Anissa Joulak, Khalifa Selmi, Aida Mokadem, Rachid Boujnah, Habib Ben Ahmed, and W. Sdiri

Subjects
medicine.medical_specialty, medicine.diagnostic_test, Atrial Septum, business.industry, Magnetic resonance imaging, General Medicine, Hypertrophy, Middle Aged, Magnetic Resonance Imaging, Lipomatous hypertrophy, medicine.anatomical_structure, Internal medicine, Internal Medicine, medicine, Cardiology, Humans, Lipomatosis, Female, business, Echocardiography, Transesophageal, Interatrial septum
Published
2008

9. 054: Additive prognostic value of elevated left ventricular filling pressure during non ST elevation acute coronary syndrome

Author

Mohamed Rachid Boujnah, Dorra Mbarek, W. Sdiri, Anissa Joulak, and Wassim Bechihi

Subjects
Acute coronary syndrome, education.field_of_study, medicine.medical_specialty, Framingham Risk Score, Ejection fraction, business.industry, ST elevation, Population, medicine.disease, Internal medicine, medicine, Cardiology, Coronary care unit, ST segment, Cardiology and Cardiovascular Medicine, education, business, Dyslipidemia
Abstract

Myocardial ischemia during acute coronary syndromes (ACS) without ST segment elevation is responsible for diastolic dysfunction. The aim of our study is to evaluate LVFP in patients suffering from an ACS without ST segment elevation and to appreciate the additive prognostic value of this parameter beside the Global Registry of Acute Coronary Events (GRACE) score and the left ventricular ejection fraction (LVEF). This strategy may lead to a better risk stratification in this population.MethodsWe performed a prospective study in 220 patients admitted to our coronary care unit for ACS without ST segment elevation from January 2007 to September 2008. Risk score stratification using the GRACE score and assessment of systolic and diastolic functions by echocardiography was performed in all patients. LVFP was estimated by the E/e’ ratio and the difference between Ap and Am.ResultsThe mean age was 58 years with a sex ratio of 4.3. Hypertension, diabetes and dyslipidemia were present in 45%, 45% and 32.2% of cases respectively. The mean body-mass index was 26.1kg/m2. In-hospital mortality was 1.84%. After 2-years follow up, the survival rate was 92.16% with an event-free survival rate of 71.9%. In our population, elevated LVFP was found in 32.3% of cases mainly in elderly (p=0.007), diabetic (p=0.041), patients with hypertension (p15 improve the prognostic value of the combination of the GRACE score and LVEF with a chi2 value of 54.74.ConclusionOur study confirms the additive prognostic value of LVFP in addition to the GRACE risk score and LVEF in patients admitted for ACS without ST segment elevation.

Published
2013

Catalog

Books, media, physical & digital resources
See catalog results