Disorders of lipids among newly diagnosed hypertensive patients in Maiduguri, Northeastern Nigeria.

Abstract

Background: The prevalence of systemic hypertension is on the increase worldwide. Clustering of hypertension and disorders of lipid accelerates the process of atherosclerosis, leading to increased cardiovascular morbidity and mortality. Assessment of lipids is an essential component of patient evaluation in hypertension.

Objectives: To determine the plasma lipids of untreated hypertensive patients presenting at the cardiology clinic of the University of Maiduguri Teaching Hospital.

Methods: One hundred and fifty untreated hypertensive patients (90 males and 60 females) aged 35 to 55 years were consecutively enrolled. Blood pressure and anthropometric parameters were measured using standard procedures. Fasting blood sample was collected for the determination of serum lipids electrolytes, BUN and blood glucose. Data was analyzed using SPSS version 11 for windows.

Results: The mean (±SD) age of the patients was 45.10 ±6.36 years. Mean Systolic and diastolic blood pressures were 158.64 ±17.82mmHg and 103.04 ±9.40mmHg respectively. Mean BMI was 27.46 ±0.39 Kg/m² and 24.59 ±4.78 Kg/m². About 51% and 17% were overweight and obese respectively. Thirty percent (30%) of patients had hypercholesterolaemia whereas 40% had hypertriglyceridaemia. Combined hypertcholesterolaemia and hypertriglyceridaemia was observed in 24%.

Conclusions: Disorders of lipid is common amongst hypertensive patients in this environment. Effective management of patients with hypertension should include assessment and management of disorders of lipids.