a cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized...
DESCRIPTION
YouTube Video of me presentation these results: http://www.youtube.com/watch?v=YocIOa-5eI8 By Jameel Khaleel Hijazeen (1); Oday Zayid Al-Ma'aitah (1); Mahmoud Yaseen Abuznaid, MD (2); Ahmed Nader Abo.sharak (1); Khaled Ali AlShar' (1); Imad Farjou, MD, PhD (3). [1] Sixth-year medical students, Faculty of Medicine, Mu'tah University, Karak, Jordan. [2] Intern, Al-Bashir Teaching Hospital, Amman, Jordan. [3] Department of Pharmacology, Faculty of Medicine, Mu'tah University, Karak, Jordan. طلاب السنة السادسة: جميل خليل حجازين، عدي زايد المعايطة ، احمد نادر ابوشرخ، خالد علي الشرع. طبيب إمتياز، مستشفى البشير: محمود ياسين أبوزنيد. الأستاذ المشرف: عماد فرجو. ---------------------------------------------------------------- It was presented by me, Jameel Khaleel Hijazeen, sixth-year medical student at Mu'tah University, today, April 11th, 2013, at the 9th Scientific Conference of the Faculty of Medicine at Mu'tah University, Karak, Jordan. There is always something better! Especially when you are doing something you never did before. Therefore, any feedback is more than welcome. Some photos and more details about this research and the conference: http://amanfrommoab.com/2013/04/11/the-ninth-scientific-conference-of-the-faculty-of-medicine-at-mutah-university-karak-jordan-april-3-4-2013-2/TRANSCRIPT
![Page 1: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/1.jpg)
A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitalsHijazeen, JK1; Al-Ma’aitah, OZ1; Abuznaid, MY, MD2; Abo.sharak, AN1; Al-Shar’, KA1.1 Sixth-year Medical Students, Faculty of Medicine, Mu’tah University, Karak, Jordan.2 Intern, Al-Bashir Teaching Hospital, Ministry of Health, Amman, Jordan.
Supervised by:
Prof. Imad FarjouDepartment of Pharmacology, Faculty of Medicine, Mu’tah University,
Karak, Jordan.
![Page 2: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/2.jpg)
![Page 3: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/3.jpg)
![Page 4: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/4.jpg)
Source: http://news.bbc.co.uk/olmedia/1890000/images/_1890222_fight300.jpg
![Page 5: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/5.jpg)
You still want
more data?
![Page 6: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/6.jpg)
Worthy?
Systemic hypertension is a major public health problem worldwide.1
1. 1988 Joint National Committee. The 1988 report of the Joint Committee on Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1988; 148: 1023-1038.
![Page 7: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/7.jpg)
Common?
1. World Health Report 2002: Reducing risks, promoting healthy life. Geneva, Switzerland:World Health Organization, 2002. http://www.who.int/whr/2002.
Worldwide prevalence estimates for hypertension may be as much as 1 billion individuals.1
![Page 8: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/8.jpg)
Prevalence of Hypertension
[1] Egan BM, Zhao Y, Axon RN. US trends in prevalence, awareness, treatment, and control of hypertension, 1988-2008. JAMA 2010; 303:2043.[2] Jaddou, H. Y., et al. "Hypertension prevalence, awareness, treatment and control, and associated factors: results from a national survey, Jordan."International journal of hypertension 2011 (2011).Source of photo: http://farm6.static.flickr.com/5252/5515887735_779fe1b150.jpg
Adults with hypertension
~29-31% 32.3%
![Page 9: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/9.jpg)
So what?
Hypertension is a leading factor for coronary artery disease, congestive heart failure, stroke, renal disease, and retinopathy.1
The World Health Organization reports that suboptimal BP (>115 mm Hg SBP) is2: Responsible for 62% of cerebrovascular disease
and 49% of ischemic heart disease, with little variation by sex.
The number one attributable risk for death throughout the world.
1. 1988 Joint National Committee. The 1988 report of the Joint Committee on Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1988; 148: 1023-1038.
2. World Health Report 2002: Reducing risks, promoting healthy life. Geneva, Switzerland:World Health Organization, 2002. http://www.who.int/whr/2002.
![Page 10: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/10.jpg)
Ministry of Heatlh, Jordan:
Mortality Data in Jordan, 2009 .
Source: “Mortality Data in Jordan, 2009.» , Ministry of Health, Jordan. http://www.moh.gov.jo/MOH/Files/Publication/al%20seha%20net.pdf
![Page 11: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/11.jpg)
Objective
The aim of this study was: To find out some epidemiological
data on hypertensive patients admitted with complications of hypertension
Explore cardiovascular risk factors among these patients.
Explore factors in the patients’ history that predispose for poor control of blood pressure.
![Page 12: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/12.jpg)
Design of Our Study
A c
ross-s
ecti
on
al stu
dy.
![Page 13: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/13.jpg)
Source of photo: Google Maps, https://maps.google.com/maps/ms?msid=208944260277323386787.0004da027e4d066d3cd48&msa=0&ll=31.600969,36.201841&spn=1.24681,2.469177
![Page 14: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/14.jpg)
October,
2011
March, 2013
![Page 15: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/15.jpg)
Interview admitted patients who fulfill the following criteria: Established
diagnosis of hypertension.
Admitted for complications of hypertension.
Conscious and oriented.
The Patient Encounter
Source of photo: http://www.dailymail.co.uk/debate/article-1163064/HARRIET-SERGEANT-Why-does-NHS-hate-elderly-much.html
![Page 16: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/16.jpg)
Study subjects (n=182)
![Page 17: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/17.jpg)
Study subjects (n=182)
The mean age of males was 64.9 yr ± 12.4 SD (n=106) . The mean age of females was 67.0 yr ± 11.8 SD (n=76). The overall mean age of patients was 65.1 yr ± 12.1 SD (n=182).
![Page 18: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/18.jpg)
Age groups of patients (n=182)
The mean age of middle-aged patients was 52.0 yr ± 5.9 SD (n=55) .
The mean age of old-aged patients was 71.8 yr ± 8.9 SD (n=127).
![Page 19: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/19.jpg)
Sex Distribution of Age Groups (n=182)
![Page 20: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/20.jpg)
Marital Status (n=180)
![Page 21: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/21.jpg)
Educational level (n=178)
![Page 22: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/22.jpg)
Monthly Family Income (JD) (n=174)
![Page 23: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/23.jpg)
Sex Distribution of Occupation (n=175)
![Page 24: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/24.jpg)
Provisional Diagnosis on Admission (n=175)
![Page 25: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/25.jpg)
Sex D
istr
ibu
tion
of
the
Pro
vis
ion
al D
iag
nosis
on
A
dm
issio
n (
n=
175)
![Page 26: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/26.jpg)
Sex D
istr
ibu
tion
of
the
Pro
vis
ion
al D
iag
nosis
on
A
dm
issio
n (
n=
175)
Old age (>=60)
Middle age (40-59)
![Page 27: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/27.jpg)
Duration since Diagnosis (n=178)
• Mean duration since diagnosis = 10.37 +/- 7.5 years
![Page 28: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/28.jpg)
Number of Drugs (n=162)
![Page 29: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/29.jpg)
Antihypertensive Drugs
Drug abbreviations: ACEI, angiotensin converting enzyme inhibitor; ARB, angiotensin receptor blocker; BB, beta-blocker; CCB, calcium channel blocker.
![Page 30: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/30.jpg)
Risk Factor
s
Excessive salt intake
Excessive fat intake
Smoking
Dyslipidemia
Diabetes
Family History
![Page 31: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/31.jpg)
Amount of Salt in Diet (n=180)
![Page 32: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/32.jpg)
Amount of Fat in Diet (n=179)
![Page 33: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/33.jpg)
Cigarettes Smoking (n=182)
![Page 34: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/34.jpg)
Sex Distribution of Cigarettes Smoking (n=182)
Males (n=106) Females (n=75)0%
20%
40%
60%
80%
100%
120%
63.2%
17.1%
36.8%
82.9%
Yes No
![Page 35: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/35.jpg)
1-20 21-40 >400.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%55.1%
28.2%
16.7%
Number of Cigarettes Smoked per Day (n=78)
![Page 36: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/36.jpg)
Diagnosis of Hyperlipidemia (n=178)
![Page 37: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/37.jpg)
Diagnosis of Diabetes (n=181)
![Page 38: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/38.jpg)
Sex Distribution of Diabetes (n=181)
Males (n=106) Females (n=75)0%
20%
40%
60%
80%
100%
120%
50% 56%
50% 44%
Yes No
p value=.426
![Page 39: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/39.jpg)
Family History of Hypertension (1st degree relatives) (n=175)
![Page 40: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/40.jpg)
Sex Distribution of Family History of Hypertension (1st degree relatives) (n=175)
Males (n=102) Females (n=73)0%
20%
40%
60%
80%
100%
120%
24% 30%
76% 70%
Negative Positive
p value=.328
![Page 41: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/41.jpg)
Family History of Death due to Cardiovascular Diseases (MI or CVA) (n=163)
![Page 42: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/42.jpg)
Sex distribution of Family History of Death due to Cardiovascular Diseases (MI or CVA) (n=163)
Males (n=96) Females (n=67)0%
20%
40%
60%
80%
100%
120%
52% 51%
48% 49%
Positive Negative
p value = 0.867
![Page 43: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/43.jpg)
Conclusions
Hypertension was more common in old-aged patients (≥ 6o yr) (69.8%) than middle-aged patients (40-59 yr) (30.2%).
Most patients were chronic hypertensives on drug treatment (≥ 10 years: 54%).
The percentage of patients on mono-, double, triple, and quadruple therapy was 43.8%, 32.1%, 17.9%, and 4.3% respectively.
![Page 44: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/44.jpg)
Conclusions
Most men were retired (34%) and manual workers (22.6%). While most women were housewives (89.3%) and farmers (3.9%).
87.1% of patients were either illiterate or had a school-level education.
![Page 45: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/45.jpg)
Conclusions
Regarding dietary habits of patients, 52.2% of patients restricted their salt intake, and 64.3% of patients restricted their fat intake.
The percentage of patients who smoked was 44.0%. Smoking was approximately four times more common among males than females (63.2% vs 17.1%).
Family history of HTN, and death to cardiovascular disease (MI or CVA) was present in 73.7%, and 48.5% of patients respectively.
![Page 46: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/46.jpg)
Recommendations
In order to improve control of BP among hypertensive patients on medication and to reduce incidence of complications, it is recommended that they should: Decrease their salt intake, as well as fat intake
especially if they are obese, hyperlipidemic, or diabetic.
Stop smoking because it is important to help control their BP.
![Page 47: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/47.jpg)
because of uncontrolled BP…
your Blood Pressure!- Steve Jobs
control
No restriction of salt
intake….. 48%No restriction of fat intake…..
36%Smoked…………………………..
44%
![Page 48: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/48.jpg)
The majority of patients were either illiterate or had a school-level education, therefore, we hope that this should be taken into consideration when counseling or designing educational materials targeting hypertensive patients.
Recommendations
... وبتألك عليكي بتسلم حبة... أميحبة...
![Page 49: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/49.jpg)
The majority of patients had a family history of hypertension, so we recommend screening for hypertension among first-degree relatives of hypertensive individuals.
Recommendations
There is no need then to quit smoking then!
Congrats! You have a normal blood pressure!
Photo: Courtesy of Anas Rawashdeh, https://www.facebook.com/anas.rwashdeh.1
![Page 50: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/50.jpg)
Recommendations:
A further study could be conducted so as to explore the knowledge, attitudes, and
perceptions of patients toward blood pressure control and cardiovascular risk factors.
: e قائًال علق الضغط دواء يأخذ أن يرفض الذي المرضى أحد
إشي كل مش الدوا؟ أوخذ بدي ليش
... يصير مكتوب؟بده
Complications?
Targets? How? Care?
![Page 51: A cross-sectional study on the prevalence of cardiovascular risk factors among patients hospitalized for complicated hypertension at two Jordanian hospitals](https://reader035.vdocuments.site/reader035/viewer/2022081515/5591a96e1a28ab3d4e8b4660/html5/thumbnails/51.jpg)
Thank you!!!
Source of photo: Tareq Al-Amour Photography, https://www.facebook.com/TareqAlAmourPhotography