Background: There are about 26% of adults worldwide with hypertension. Multi-morbidity among hypertensives have implications on disease prognosis and treatment outcomes. This study was to establish the complications & co-morbidities that hypertensive patients in our environment experience.

Methodology: This was a descriptive study of 216 patients at the GOPC of UCTH, Calabar recruited using systematic random sampling. A structured questionnaire was used and required examinations were also done. Data was analyzed using the SPSS 18.0 software. The results were expressed as frequencies, proportions and percentages. The study was approved by the HREC of UCTH, Calabar.

Results: Most of the respondents had some form of education and were mostly civil servants or traders. Most of the respondents had been hypertensive for between 2-4 years (94, 43.5%) followed by those with hypertension for less than two years (64, 29.6%). Sixty-eight (31.5%) respondents had other complications out of which forty-one (60.3%) had co-morbidities made of Diabetes (33, 48.5%) and Dyslipidaemia (8, 11.8%). There were nine respondents (13.2%) of the respondents with more than one co-morbidity. Conclusion: Multi-morbidity is common among persons with hypertension and other chronic diseases. Early diagnosis and management can improve patient outcomes, quality of life and patient satisfaction.