Hypertension

Overview

High blood pressure (BP) is the most common single risk factor for cardiovascular-related events and deaths worldwide. Over the past decade, Africa has been characterised as the world's fastest growing economy, but is also in a precipitous health transition. Indeed, the estimated number of hypertensive people in Africa in 2008 was nearly four times higher than the

2005 estimate of the World Health Organisation regional office for Africa (WHO-AFRO), and it is projected to be 125.5 million by 2025.

This increasingly high prevalence of hypertension is coupled with very poor awareness, and low treatment and control rates across Africa.3-6 Hypertension therefore stands in this region of the world as the most common cause of stroke, congestive heart failure (HF) and chronic kidney disease, and poses additional challenges on the longstanding burden associated with communicable diseases and the ongoing HIV/AIDS pandemic.

Since the United Nations high-level meeting to raise international awareness on the fact that premature deaths from non-communicable diseases (NCDs) reduce productivity, curtail economic growth, and pose a significant social challenge in most countries, African governments are opening political windows that need to be used as an opportunity to develop and implement policies for the prevention and control of hypertension and other NCDs.

As the leading continental organisation, the Pan-African Society of Cardiology (PASCAR) has made a real evaluation of the condition and prioritised hypertension as the highest area of priority action to reduce heart disease and stroke on the continent. The PASCAR roadmap on hypertension aims to develop simple and practical hypertension management guidelines, and improve health systems and policies within the World Heart Federation hypertension roadmap framework (appended). This implies that African needs are not just for further consensus statements, reviewing the evidence, but practical guidance on how to implement strategies that translate existing knowledge into effective action and improve blood pressure control and cardiovascular (CV) health in general, as suggested by the WHF primary goal of a 25% reduction of CV mortality by the year 2025.

It is in this vein that the PASCAR Hypertension Task Force meeting was held in Nairobi, Kenya, on 27 October 2014. This event brought together hypertension specialists, guideline methodologists, and clinicians, who reviewed existing guidelines and mapped the next steps in the development of a roadmap for the control and management of hypertension in Africa.

 

Conference Proceedings: Development of the roadmap and guidelines for the prevention and management of high blood pressure in Africa: proceedings of the PASCAR Hypertension Task Force meeting: Nairobi, Kenya, 27 October 2014. Cardiovascular Journal of Africa, March/April 2015 (click here to download)

Meeting Report: Anastase Dzudie, Abdoul Kan, et al. Development of the roadmap for reducing cardiovascular morbidity and mortality through the detection, treatment and control of hypertension in Africa: report of a working group of the PASCAR Hypertension Task Force. Cardiovascular Journal of Africa, May/June 2016 (click here to download)

Hypertension Publications (African and International)

GUIDELINES

Burundi 2012 (click here to download pdf)

Egypt 2003 (click here to download pdf)

Ethiopia: 2014 General Hospital (click here to download pdf)

Ethiopia: 2014 Primary Hospital (click here to download pdf)

Ghana 2012 (click here to download pdf)

Kenya 2009 (click here to download pdf)

Lesotho 2005 (click here to download pdf)

Malawi 2009 (click here to download pdf)

Mauritius (click here to download pdf)

Nigeria 2008 (click here to download pdf)

Rwanda (click here to download pdf)

South Africa 2006 (click here to download pdf)

Sudan 2012 (click here to download pdf)

Tanzania 2013 (click here to download pdf)

Uganda 2012 (click here to download pdf)

Zambia 2008 (click here to download pdf)

STUDIES

Corporate Support and Partners

News and Events

10 Pillars to Control Hypertension

Toolkit