Determination Medical Parameter and the Most Effective Antihypertensive

Hypertension is one of the major modifiable risk factors for coronary heart disease, stroke, peripheral vascular disease and renal failure. The aim of treating hypertension is to maximize therapeutic efficacy without untoward side effects. The study population was carried out in emergency department of Razgary and Jumhury hospitals in Hawler. Hypertension was highly prevalent among aged persons between 6170 years 33(27.5%) while the lowest percentage were recorded in the age group 30-40 years 8(6.6%). Female population showed higher percentage 53.3% than male 46.6%.Duration of hypertension more than five years 80 (66.6%) which was higher than those less than two years 8 (6.6%). Family history of hypertension appeared as strong risk factor of hypertension that recoded 76(63.3%). According to educational level found the hypertension was higher in Illiterate-primary education 55 (45.8%) than Intermediate –secondary school education 38(31.6%) and lowest among highest educational level 27(22.5%). Body mass index (BMI) had effect on percentage of hypertension among overweight patients 62 (51.6%) followed by obesity39 (32.5%)and lowest in patients with normal weight 19(15.8%). Co-morbidity was observed in70(58.3%)among which diabetes mellitus was28(23.3%)followed by cardiovascular disease 19(15.8%) and hypercholesterolemia was11(9.1%) . Types of drug used to treat hypertension show diuretics and angiotensin converting enzyme inhibiter were the most drug used 26(21.6%) and 25(20.8%) respectively followed by combined drug and calcium channel blocker were 19(15.8%),18(15%) respectively then angiotensin receptor blocker17(14.1%)and beta-blocker used in 15(12.5%). Prevalence and occurrence, blood pressure . Hypertension,