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Dyskalemia Prior to and After Initiation of a Fixed Dose Combination of Telmisartan and Amlodipine in Adults with Hypertension in Bangladesh Cover

Dyskalemia Prior to and After Initiation of a Fixed Dose Combination of Telmisartan and Amlodipine in Adults with Hypertension in Bangladesh

Open Access
|Mar 2025

Figures & Tables

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Figure 1

Cohort diagram.

Abbreviations: BP, blood pressure; HTN, hypertension; FDC, fixed-dose combination.

Table 1

Characteristics of 1,073 adults with hypertension in Bangladesh in community BP screening in the overall population and stratified by the status of dyskalemia.

CHARACTERISTICSOVERALL (n = 1073)PREVALENT DYSKALEMIA STATUS AT SCREENING
HYPOKALEMIA < 3 MMOL/L (n = 17)NORMOKALEMIA 3.0 TO 5.5 MMOL/L (n = 1054)HYPERKALEMIA* > 5.5 MMOL/L (n = 2)
Age years, mean (SD)54 (9.5)54 (7.9)54 (9.5)
Male gender, no (%)761 (71)10 (59)750 (71)
Height cm, mean (SD)159 (8.9)155 (7.3)159 (8.9)
Weight kg, mean (SD)64 (12)60 (9.5)64 (12)
Body mass index kg/m2, mean (SD)25 (4.0)25 (2.7)25 (4.0)
SV Systolic BP mmHg, mean (SD)159 (13)169 (13)159 (13)
SV Diastolic BP mmHg, mean (SD)95 (10)101 (13)95 (10)
EV Systolic BP mmHg, mean (SD)155 (13)163 (14)155 (13)
EV Diastolic BP mmHg, mean (SD)93 (9.9)98 (14)93 (9.8)
Average of SV and EV – systolic BP, mean (SD)157 (12)166 (13)157 (12)
Average diastolic BP, mean (SD)94 (9.3)99 (13)94 (9.2)
Medical history, no (%)
    No history891 (83)9 (53)881 (84)
    Heart failure0 (0.0)0 (0.0)0 (0.0)
    Myocardial infarction1 (0.1)0 (0.0)1 (0.1)
    Stroke4 (0.4)1 (5.9)3 (0.3)
    Diabetes175 (16)7 (41)166 (16)
    Kidney disease2 (0.2)0 (0.0)2 (0.2)
    COPD, Asthma0 (0.0)0 (0.0)0 (0.0)
Have you ever smoked?, no (%)
    Never735 (69)13 (76)720 (68)
    Former112 (10)1 (6)110 (10)
    Current225 (21)3 (18)222 (21)
Creatinine clearance (CrCl), ml/min mean (SD)70 (22)58 (17)70 (22)
Dipstick proteinuria result?, no (%)
    Negative1037 (97)15 (88)1019 (97)
    Trace12 (1)0 (0)12 (1)
    1+20 (2)2 (12)18 (2)
    2+3 (0)0 (0)3 (0)
    3+2 (0)0 (0)2 (0)

[i] *Data are not shown for those with hyperkalemia due to small sample size (n = 2).

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Figure 2

Histograms of baseline potassium levels among Bangladeshi adults with hypertension identified during screening (Prevalence analysis).

*Histogram shows the distribution of potassium levels prior to the start of FDC pills among those who were candidates for starting FDC pills (n = 1,073).

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Figure 3

Histograms of potassium levels at follow-up among Bangladeshi adults with hypertension who started FDC (Incidence Analysis).

*Among 1,017 participants who initiated FDC pills, 864 completed the follow-up and are included in the histogram.

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Figure 4

Histograms of changes in blood pressure between baseline and follow-up visits among Bangladeshi adults with hypertension who started FDC.

The mean systolic BP change (95%CI) was –29.8 (–30.6 to –28.9) mmHg. The mean diastolic BP change was –16.9 (–17.5 to –16.4) mmHg.

DOI: https://doi.org/10.5334/gh.1415 | Journal eISSN: 2211-8179
Language: English
Submitted on: Apr 15, 2024
Accepted on: Feb 24, 2025
Published on: Mar 19, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Junichi Ishigami, Md. Mahmudul Hasan, Aruna Sarker, Sharmin Nahar, Sibly Sadik Shuvo, Mir Ishraquzzaman, Mohammad Abdullah Al Mamun, Md. Kalimuddin, Sheikh Mohammad Mahbubus Sobhan, Di Zhao, Kunihiro Matsushita, Lawrence J. Appel, Sohel Reza Choudhury, Edgar R. Miller III, Fazila-Tun-Nesa Malik, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.