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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 28, No 2, March/April 2017

76

AFRICA

commonness of the condition in primary care (one in every

four patients seen in this study), and the attendant morbidity

and mortality rates, the performance of the cohort in in

this study, irrespective of their guideline-awareness status, was

unsatisfactory and poses significant challenges to hypertension

care in Nigeria. The findings of this study suggest inadequate

assessment of target-organ damage and patient risk stratification,

with consequent poor global cardiovascular risk management,

contrary to guideline recommendations.

7,10,20

However, the fact that awareness of hypertension guidelines

by PCPs is associated with improved hypertension care, as shown

in this study, makes continuing professional education of general

practitioners in evidence-based hypertension care, as expounded

in hypertension guidelines, imperative in bridging the gap

between the current reality and the desired in hypertension care.

We thank all the participating physicians.

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