Cardiovascular Risk Assessment among Patients with Hypertension Presenting at a Family Medicine Clinic in Southwest Nigeria

Abstract

Aims: To determine the 10-year cardiovascular risk (CV) and its association with socio-demographic characteristics of hypertensive patients.  Study Design: This was a cross-sectional study. Place and Duration of Study: Family Medicine Clinic of the University College Hospital, Ibadan, Nigeria, between June 2013 and September 2013. Methodology: We included 345 hypertensive patients (84 men, 261 women) aged 30 years and above with no clinical history suggestive of cardiovascular disease. Data collection was with an interviewer-administered semi-structured questionnaire, physical examination and blood investigation. CV risk was determined by using General Framingham cardiovascular risk profile for use in primary care. Results: The mean+ SD age of the 345 respondents was 57.4+9.7 years and 75.7% were female. High proportion of the respondents (42.3%) were in the high CV risk category of 10-year risk for cardiovascular disease while 27.0% and 30.7% had intermediate and low CV risk respectively.  CV risk was significantly associated with age (p < .001), sex (p < .001), family type (p= .047), level of education (p=.02), employment status (p