<p>: Hypertension (HTN), a global health issue, is defined as a rise in blood pressure greater than or equal to 140/90mmHg potentially leading to cardiovascular disease (CVD) and death if untreated. Hypertension is progressing, and the risks of CVD are rising dramatically around the world, particularly in low and middle-income countries including Ethiopia. The study aimed to fill the information gap by describing the trend of HTN over the previous five years at Merawi Primary Hospital in West Gojjam Zone, Amhara Regional State, Ethiopia.</p>