Blood Pressure Control and Antihypertensive Pharmacotherapy Patterns in Hypertensive Cases in Erbil City

Blood Pressure Control and Antihypertensive Pharmacotherapy Patterns in Hypertensive Cases in Erbil City
                                        Dr. Mohammed Kawa Fathi ¹*, Dr. Mudhafar Abdulrahman Habeeb <sup>2
1. M.B.Ch.B., trainee at Kurdistan Higher Council of Medical Specialties- Cardiology, Surgical Specialty Hospital Cardiac Center–Erbil
 2.M.B.Ch.B., PhD, FRCP; Assistant Professor of Cardiology-College of Medicine/ Hawler Medical University-Erbil</sup>

Background:
Hypertension is a common public health problem in Kurdistan region/Iraq. Different antihypertensive treatment agents and patterns are used aiming in blood pressure control, despite the advances in pharmacotherapies and increased awareness, blood pressure control is still unsatisfactory.
Aim of study:
To determine the rate of blood pressure control in hypertensive patients on medications, concentrating on pharmacological patterns along with determining the importance of compliance.
Patients &methods:
An observational cross sectional study conducted in Outpatient Clinics in Erbil city-Kurdistan region/Iraq through duration period of six months from January to 30thof June2022 on a sample of two hundred and thirty known hypertensive adult patients was selected after eligibility to inclusion exclusion criteria. The diagnosis of hypertension was done by physician according to and international guidelines. The controlled blood pressure was defined when it is less than 140/90mmHg and for patients with type 2 diabetes mellitus the target is less than 130/80mmhg.
Results:
Among hypertensive patients, 56.1% had controlled and 43.9% had uncontrolled hypertension. The common antihypertensive pharmacotherapy used were angiotensin receptor blockers (51.3%) and calcium channel blockers(51.3%); followed by diuretics beta-blockers (32.2%). The mean blood pressure of hypertensive patients was (138.9/81 mmHg); was a significant association between calcium channel blockers use and controlled pressure (p=0.03).A significant association was observed between fixed combination treatment and controlled blood pressure (p=0.008).
Conclusions: 
In our study, more than half of have their BP controlled and the blood pressure control was better in patients taking channel blockers with fixed-dose combination