NUTRITIONAL FACTORS AND HEART-FAILURE IN NIGERIANS WITH HYPERTENSIVE HEART-DISEASE

Authors
Citation
Job. Olubodun, NUTRITIONAL FACTORS AND HEART-FAILURE IN NIGERIANS WITH HYPERTENSIVE HEART-DISEASE, International journal of cardiology, 35(1), 1992, pp. 71-76
Citations number
32
Language
INGLESE
art.tipo
Article
ISSN journal
0167-5273
Volume
35
Issue
1
Year of publication
1992
Pages
71 - 76
Database
ISI
SICI code
0167-5273(1992)35:1<71:NFAHIN>2.0.ZU;2-6
Abstract
Thirty Nigerian hypertensives with heart failure and 30 without heart failure, matched for age and sex, were studied. Diastolic blood pressu res were similar in the two groups (118 +/- 15 and 118.5 +/- 13.6 mmHg , respectively) (P > 0.5), while systolic blood pressures were higher in the non-heart failure group (176.7 +/- 29.7 and 198.8 +/- 29.8 mmHg , respectively) (P < 0.01). The mean durations of initial detection of high blood pressure in the previously known hypertensives in the two groups were 4.9 +/- 3.8 and 4.4 +/- 3.3 years, respectively (P < 0.05) , and their drug compliance prior to this study was similarly poor (P > 0.1). In the two groups, 33.3% and 10% were thiamine deficient, resp ectively (P < 0.001), with TPP > 15%; 23.3% and 0% had hypoalbuminaemi a (P < 0.02), with a mean serum albumin of 35 +/- 7 and 42 +/- 3 g/l, respectively (P < 0.001); while 36.7% and 13.3% were anaemic, respecti vely (P < 0.05). Heart failure was more severe in those with more than one of these adverse factors (P < 0.05). The results suggest that the se factors, more prevalent in the heart failure group, would have hast ened and worsened their heart failure. It is suggested that an active nutritional approach be incorporated into the management of hypertensi ves, particularly in the developing world.