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Introduction: Hypertensive heart disease (HHD) is the constellation of abnormalities characterized by cardiac complications. Despite advancements in the management of hypertension and access to medical care, the incidence of HHD is an alarmingly increasing through time. However, there is a dearth of information on the determinants of HHD in Ethiopia. Therefore, this study aimed to assess the determinants of HHD among adult hypertensive patients at Gondar University Referral Hospital, Gondar, Ethiopia. Materials and Methods: This case-control study was conducted from April 1st to 26th in 2018. The cases were adult hypertensive outpatients with cardiac complications who were diagnosed within the last two years and were on follow-up and care in Gondar University Referral Hospital Gondar, Ethiopia, during the study period. On the other hand, the controls were adult hypertensive outpatients without a history of any of the cardiac complications who were diagnosed within the last two years and were on follow-up and care in Gondar University Referral Hospital, Gondar, Ethiopia, during the study period. A total of 159 participants included 53 cases and 106 controls were selected using a simple random sampling method. Data were collected using a checklist, and an interviewer administered a structured questionnaire. Moreover, multivariate logistic regression analysis was used to identify the predictors of hypertensive heart disease. In addition, a p-value of less than 0.05 was considered statistically significant. Results: According to the results of this study, the majority of the cases (70.9%) and controls (54.5%) were in the age group of =60 years. Furthermore, hypertensive patients who had a family history of cardiovascular disease (Adjusted odds ratio (AOR)=4.7, 95% CI: 1.8-11.9), sedentary lifestyle (AOR=3.2, 95% CI: 1.3-7.8), uncontrolled blood pressure (AOR=4, 95% CI: 1.8-9.0), and hypertension duration =10 years (AOR=3, 95% CI: 1.1-8.7) were more likely to develop hypertensive heart disease than their counterparts. Conclusion: Multiple factors predicted HHD; accordingly, it is highly recommended to consider the early management guidelines and provide professional advice regarding physical exercise, especially for older individuals. [ABSTRACT FROM AUTHOR]

Background: In high-income and low-income countries, including Ethiopia, hypertension (HTN) is a serious public health concern. As a consequence, a massive self-care practice (SCP) is necessary, and the domains of SCP, including adherence to medication, physical activity, weight management, low-salt diet, non-smoking, moderate alcohol usage, and dietary management, are required. However, there is no nationwide study on HTN SCPs in Ethiopia. This meta-analysis, therefore, aimed to estimate the pooled level of HCP among individuals living with HTN in Ethiopia., Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guideline was used to report this systematic review and meta-analysis. We systematically searched the databases PubMed/MEDLINE, Embase, Google Scholar and Science Direct for studies conducted in Ethiopia. All observational studies published until July 2020 were included. Data were analysed using R V.3.5.3 software, and the pooled prevalence with 95% CIs was presented using tables and forest plots. The presence of statistical heterogeneity ( I 2 ) within the included studies was evaluated. We used a funnel plot to identify evidence of publication bias. The random-effects meta-analysis model was employed to estimate the pooled proportion of good HTN SCPs.This was submitted for registration with the International Prospective Register of Systematic Reviews in March 2020 and accepted with the registration number CRD42020175743 (https://www.crd.york.ac.uk/PROSPERO)., Results: Our search databases produced 356 papers. Twelve of these papers fulfilled the inclusion and were found suitable for the review. The total population in this study was 3938. Off these hypertensive populations, 44% (95% CI 34 to 53) had good SCP. The subgroup analysis for each component of SCP was done. The subgroup analysis of good adherence to low-salt diet, alcohol abstinence, medication adherence, non-smoking, physical exercise and weight management was 52% (95% CI 39% to 66%), 77% (95% CI 69% to 88%), 65% (95% CI 45% to 85%), 92% (95% CI 88% to 95%), 43% (95% CI 30% to 56%) and 51% (95% CI 32% to 69%), respectively. In conclusion, nearly half of patients with HTN had good SCPs., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Hypertension is the number one cardiovascular risk factor and the leading cause of mortality worldwide. It's the driver of the cardiovascular disease epidemic in Africa where it is a major, independent risk factor for heart failure, stroke and renal failure. There is no study to assess the level of knowledge of hypertension among hypertensive patients in our setup. The objective of this study was to assess knowledge, attitude and selfcare practice towards control of hypertension among hypertensive patients on follow up at our hospital., Methods: A total of 385 hypertensive patients who were on follow up at our hospital were randomly selected for interview. The Sociodemographic and relevant clinical data were extracted using a structured questionnaire. Operational definitions and Likert scale was used to compare the variables., Results: Only 48.6% of hypertensive patients participated in this study have good basic knowledge of hypertension, 47.8% of them have good attitude and only 39.5% of the study participants have good practice towards control of hypertension. Male sex, formal education and being urban resident are associated with better knowledge, attitude and self-care practice of hypertensive patients at our hospital., Conclusion: The result states that there is an inadequate knowledge about hypertension; as well attitude and self-care practice towards control of hypertension among our hypertensive patients is generally poor. Responsible bodies should focus on addressing such limitations of hypertensive patients. Attention should be given to hypertensive patients who are females, low educational level and those coming from rural.