[ XXXX and rate control in Brazzaville (Congo): Place of ambulatory blood pressure monitoring (ABPM).]

@entity1 @entity286 @entity101 @entity6 @entity28 @entity2299 @entity13519 @entity13520
OBJECTIVES: To evaluate the rate control in the @entity101 @entity1 and to identify the predictive factors of non-control. METHODS: It was about a cross-sectional study with prospective collection of data over a period of 36months. It has been held in Brazzaville, and included a consecutive series of 620 @entity101 @entity1 known and treated for at least 6weeks, having profited from an ambulatory blood pressure monitoring (ABPM) with therapeutic aiming. We used the TONOPORT V and the software Cardiosoft 6.51 of GE Health Care, respectively for the recording and the data analysis. The threshold fixed on the average of 24-hour was BP<130/80mmHg, and the @entity1 divided into two groups according to whether they were or not controlled. RESULTS: They were 352 @entity1 (56.8%) and 268 @entity1 (43.2%), old on average of 53.8  9.7years (ranges: 29 and 89years). The standard of living of the @entity1 was average in 330 cases (53.2%), weak in 132 cases (21.3%), and high in 71 cases (11.5%). The other associated risk factors were sedentariness in 275 cases (44.4%), overweight/ @entity28 in 134 cases (21.6%), @entity2299 in 121 cases (19.5%), @entity6 in 90 cases (14.5%), and @entity286 addiction in 25 cases (4%). The @entity101 , old of 5.8  5.7 years on average, was controlled among 215 @entity1 (34.7%). The 24- hour BP average was 139  14mmHg for the @entity13519 and 88.2  10.2mmHg for the @entity13520 . The awake and asleep BP averages were respectively 141  14mmHg and 133  16.2mmHg for the @entity13519 , 90.5  10.5 and 81.2  11.1mmHg for the @entity13520 . The antihypertensive protocol used was a monotherapy in 130 cases (21%), bitherapy in 287 cases (46.3%), tritherapy in 154 cases (24.8%), quadritherapy or more in 27 cases (4.3%). Prevalence of non-dipping was 43%. Age and male gender were the significant predictors of poor control. CONCLUSION: The rate control of @entity101 in our study population remains low. Its improvement passes by the education of the @entity101 @entity1 and the improvement of their living conditions.
