Background: Hypertension is a major public health problem, and it remains the major preventable cause of cardiovascular and all-cause mortality worldwide. Most cases are

asymptomatic and discovered incidentally.

Objectives: The objective of this study is to identify (i) the proportion of hypertensive patients diagnosed incidentally and those diagnosed due to symptoms, (ii) the most common symptoms among patients that present with symptoms, (iii) the presentation of acute elevations of blood pressure in hypertensive patients, and (iv) hypertension-related symptoms affect compliance with medications.

Patients and methods: A cross-sectional study was carried out on 386 hypertensive patients in two public health care centres and public places in Erbil, the capital of the Kurdistan Region of Iraq, from December 20, 2021, to February 7, 2022. Data was collected through interviews with the patients using a questionnaire designed by the researchers. A p-value ≤ 0.05 was considered to be statistically significant.

Results: The majority (76.5%) of patients were diagnosed because they got their blood pressure measured due to symptoms. The likelihood of being diagnosed incidentally was not significantly different with age, gender, age at diagnosis, socioeconomic status, or having one or more risk factors. The most common symptoms were headache followed by lightheadedness. Since diagnosis, 87.7% of subjects reported feeling symptoms with elevations in blood pressure, most commonly headaches followed by lightheadedness. Women and individuals belonging to a low socioeconomic status were more likely to report feeling symptoms. Whether or not patients felt

symptoms with elevations of blood pressure, it didn’t significantly affect compliance with medications.

Conclusion: The majority of hypertensive patients are diagnosed once they develop symptoms or complications, and a small percentage are diagnosed incidentally. Screening for hypertension in our region may be inadequate. Treatment rates were high. Hypertension-related symptoms didn’t seem to affect compliance with medications.