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Hypertension (HTN) is a major public health problem in the world, responsible for heavy morbidity and cardiovascular mortality, the prevention necessarily involves good control of blood pressure. The factors of bad blood pressure control, apart from medication compliance, are numerous and variable. The aim of our study is to determine the prevalence of uncontrolled HTN and to identify the predictors of poor control of blood pressure. Patients and methods: The study involved 516 hypertensive patients who had been treated for at least six months. We split our sample into two groups according to the blood pressure at the ambulatory blood pressure measurement (ABPM). A multivariate analysis using a binary logistic regression model was performed to determine the factors associated with poor control of blood pressure control. Results: These were 320 men (62%) and 196 women (38%), aged 61.5±9 years on average. Hypertension was uncontrolled in 260 patients (50.4%). In multivariate analysis, we retained as factors associated with poor control of blood pressure: advanced age (p = 0.001), male sex (p = 0.027), monotherapy (p = 0.02), diabetes (p = 0.03), family history of HTN (p = 0.02), high salt diet (p = 0.004) and positive microalbuminuria (p = 0.01). Conclusion: The level of blood pressure control in our sample remains relatively insufficient. This study made it possible to identify the profile or subgroup of patients at risk of poor control of blood pressure, for whom closer monitoring and more vigilant management are necessary.

Predictors for Uncontrolled Hypertension at Ambulatory Blood Pressure Monitoring (ABPM) in Moroccan Patients: About 516 Cases