Risk factors and blood pressure control: observational study in a cohort of hypertensive patients in Frosinone area

Author(s):  
Francesco Carrano
2004 ◽  
Vol 122 (3) ◽  
pp. 87-93 ◽  
Author(s):  
Elizabeth Silaid Muxfeldt ◽  
Armando da Rocha Nogueira ◽  
Gil Fernando Salles ◽  
Kátia Vergetti Bloch

CONTEXT: Hypertension is one of the most important cardiovascular risk factors but its control is still a challenge for physicians all around the world. For blood pressure control to be improved, it is important to guarantee the quality of attendance provided for hypertensive patients, especially in teaching hospitals, where future physicians are being trained. OBJECTIVE: To characterize the profile of hypertensive patients attending the internal medicine outpatient clinic of a university hospital in Rio de Janeiro,describing their cardiovascular risk and identifying flaws in the treatment provided for severely hypertensive patients, in order to implement an arterial hypertension management program. TYPE OF STUDY: A descriptive cross-sectional population-based study. SETTING: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro. METHODS: The study was carried out over a period of four months, involving all the hypertensive patients under treatment in the outpatient unit. The attending physician obtained information relating to demographic features, cardiovascular risk factors, target organ damage, blood pressure levels, therapeutic regimens and compliance with treatment. Means and the respective standard deviations and proportions were used to describe the distribution of patient data. RESULTS: Of the total number of patients seen, 24.2% (1,699 patients) were hypertensive. Women accounted for 65.0% of the patients. The mean age was 63.9 years. Dyslipidemia (49.2%) and diabetes (29.8%) were the most frequently reported risk factors and heart disease was the most prevalent end-organ damage. Seventy percent of the patients were classified as high cardiovascular risk. In spite of the high intensity treatment provided for the most severe patients (19.4% on a regimen of 3 or more antihypertensive drugs), the rate of blood pressure control was low (27%). CONCLUSIONS: The patients with arterial hypertension under treatment at the university hospital had a profile of high cardiovascular risk and poor blood pressure control. Greater effort for improving hypertension control is needed, since this is the only way to reduce the morbidity and mortality rates of cardiovascular diseases.


Author(s):  
Geetha A. ◽  
Gopalakrishnan S. ◽  
Umadevi R.

Background: Hypertension is one of the more common non communicable diseases worldwide. There is the need for life style modifications along with the treatment for managing these diseases. But some people may continue with the lifestyle risk factors even after the occurrence of the disease, leading to complications in future. The study was planned with the objectives of identifying the prevailing lifestyle risk factors and association with blood pressure control and identifying the association between the lifestyle risk factors and complications of hypertensive patients in the study area.Methods: This is a descriptive cross sectional study done in the rural field practice area of a Medical College. Using purposive sampling technique, 300 hypertensive patients attending the rural health training centre were selected as study participant. Data collection was done by structured questionnaire. Data analysis was done using SPSS 17.Results: Among the study group, males were 54% and females were 46%. The most common life style risk factors was sedentary type physical activity (50.7%), 27% of them added extra salt to their diet, 47.7% of them were current drinkers and 31.7% of them were current smokers. About 53% had controlled hypertension and 47% had uncontrolled hypertension. Physical activity and smoking have statistically significant association with blood pressure control. All the four risk factors like sedentary lifestyle, adding extra salt, drinking and smoking had statistically significant association with complications.Conclusions: Hypertensive patients who tend to continue the lifestyle risk factors are more prone to develop uncontrolled blood pressure which in turn leads to further complications. Thus proper health education, and awareness creation programmes needs to be done for lifestyle modification, as part of intervention. 


2014 ◽  
Vol 16 (4) ◽  
pp. 309-312 ◽  
Author(s):  
Konstantinos Tziomalos ◽  
Vasilios Giampatzis ◽  
Maria Baltatzi ◽  
Elias Efthymiou ◽  
Konstantia Psianou ◽  
...  

1981 ◽  
Vol 57 (673) ◽  
pp. 690-693 ◽  
Author(s):  
J. H. Johnston ◽  
F. G. Dunn ◽  
D. G. Beevers ◽  
H. Larkin ◽  
D. M. Titterington

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