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Cardiovascular Β· Blood Pressure Β· Akoka

High Blood Pressure in Lagos?
The Silent Killer β€” Controlled Before It Kills.

1 in 3 Nigerian adults has hypertension β€” and the majority don't know. Uncontrolled blood pressure destroys kidneys, causes stroke, and triggers heart attacks β€” silently, for years. At Mascot Healthcare, Akoka, we check, diagnose, prescribe, and monitor. See current prices.

BP check every visitAntihypertensive prescribedKidney monitoringBy appointment Β· Akoka
Why it matters in Lagos

Hypertension in Nigeria β€” The Numbers Are Alarming

Studies consistently show that approximately 35% of Nigerian adults have hypertension. Of these, roughly 60% are unaware of their diagnosis, only 40% of those diagnosed are on treatment, and only 30% of those on treatment have their blood pressure controlled. This means that roughly 7 in 8 hypertensive Nigerians have uncontrolled blood pressure β€” silently damaging their organs.

The consequences are Nigeria's leading causes of hospital mortality: stroke (the #1 cause of adult neurological disability in Nigeria), heart failure, chronic kidney disease, and hypertensive emergencies.

What causes hypertension in Lagos

Primary (essential) hypertension β€” with no single identifiable cause β€” accounts for 90–95% of cases. Risk factors prevalent in Lagos: high dietary salt (processed foods, stock cubes), obesity and abdominal fat, chronic stress from Lagos living conditions, physical inactivity, heavy alcohol use, and family history. Secondary hypertension (from kidney disease, aldosteronism, sleep apnoea) accounts for 5–10% β€” detectable with targeted testing.

Treatment at Mascot Healthcare

First-line antihypertensives for Nigerian patients (based on current ISH Africa guidelines): ACE inhibitors (lisinopril, enalapril) or ARBs (losartan) β€” preferred in diabetics and for kidney protection; calcium channel blockers (amlodipine) β€” particularly effective in Black African patients; thiazide diuretics (hydrochlorothiazide) β€” low cost, effective. Most patients achieve target BP with combination therapy.

Our Hypertension Management Service

We go beyond measuring blood pressure β€” we protect your organs and reduce your long-term risk.

  • Blood pressure measured in both arms, twice, resting β€” at every visit
  • BMI, waist circumference, weight trend
  • Kidney function (creatinine, eGFR) β€” annually and when BP remains elevated
  • Fasting blood glucose and lipid profile β€” total cardiovascular risk calculation
  • ECG where indicated (left ventricular hypertrophy assessment)
  • Antihypertensive prescription with sexual function in mind
  • Lifestyle counselling: salt restriction (<5g/day), DASH diet principles, exercise
  • Follow-up blood pressure check at 2–4 weeks after starting medication
  • Target: clinic BP <140/90 mmHg (or <130/80 in diabetics)
Questions

Hypertension FAQs

Can I stop my blood pressure medication if my BP is normal?
No β€” this is the most dangerous mistake hypertensive patients make. Blood pressure normalises because of the medication, not in spite of it. Stopping medication allows the BP to rise again within days to weeks. Hypertension is a lifelong condition in most patients and requires lifelong management.
Does hypertension cause headaches?
Mild to moderate hypertension usually causes no symptoms β€” this is why it's called the silent killer. Severe hypertension (β‰₯180/120) can cause headache, visual disturbance, nosebleed, and chest pain (hypertensive crisis). A headache in a hypertensive patient should prompt a blood pressure check, but most headaches in hypertensives are not caused by their blood pressure.
My blood pressure is high only when I come to the clinic but normal at home. Which is right?
This is called 'white coat hypertension' β€” BP elevated in clinical settings from anxiety, but normal at home. It is associated with some cardiovascular risk but less than sustained hypertension. A 24-hour ambulatory blood pressure monitor (ABPM) provides the most accurate assessment. Meanwhile, home monitoring with a validated device is helpful.

Get Your Blood Pressure Under Control Today

Blood pressure check, medication and monitoring at Mascot Healthcare, Akoka. See current prices.

BP check
Every visit
Medication
Prescribed
Monitoring
Ongoing

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