Organised by
Organised by
Effective blood pressure (BP) control in hypertensive patients is important in reducing the risk of cardiovascular diseases. Even a modest reduction in BP may significantly improve cardiovascular outcomes. Several factors have been associated with BP control.
We aimed to determine the prevalence of good BP control among hypertensive patients and its associated factors.
A cross-sectional study involving Malaysian adults aged ≥18 with hypertension who attended a public health care clinic in Melaka from December 2024 to February 2025. Patients were selected via systematic random sampling. A self-administration questionnaire was completed, and a clinical BP measurement was performed. BP control was determined from the average of two BP measured five minutes apart.
A total of 475 hypertensive patients were included in this study. Only 38.7% of the participants (n=184) had good BP control. The majority aged ≥60 years (64.4%, n=306) and female (57.9%, n=275). The key predictor of good blood pressure control was the age <40 years old group, those aged 40-59 group (OR=0.589, p=0.017and OR=0.142, p=0.011), and Females (OR=1.843, p=0.003). Participants taking only one antihypertensive medication (OR=1.828, p=0.018) and those on two antihypertensive medications (OR=2.515, p=0.001), and participants without diabetes (OR=1.812, p=0.004).
The findings suggest that older age groups, male gender, and diabetes mellitus are associated with poorer BP control, whereas female participants and those on two antihypertensive medications have good BP management. These results emphasize the need for targeted interventions focusing on older individuals, males, and diabetic patients to improve BP control outcomes.
2024 Malaysian Society of Hypertension All Right Reserved