Evaluation of arterial hypertension control and treatment in daily practice of family physicians
Material and methods. A total of 429 18–80-year-old patients with primary arterial hypertension treated for ≥1 year participated in this study. General practitioners collected data on patients’ demographic and clinical characteristics, current treatment for primary arterial hypertension, and treatment modifications.
Results. According to physicians, 45.4% of patients achieved target ABP levels. Adequately controlled ABP was documented more often in the group of low and moderate cardiovascular risk than in high- and very high-risk group (n=141, 62.9% versus n=54, 26.3%; P<0.0001). Based on ABP measurements, 160 (37.3%) patients had ABP of <140/90 mm Hg. The majority of patients were treated with a combination of two (n=153, 35.7%) to three (n=144, 33.6%) antihypertensive drugs. Patients with uncontrolled ABP more frequently than patients with controlled ABP were given combination therapy. Treatment was not modified in 37.8% (n=162) of patients, more commonly in those with controlled ABP.
Conclusions. The level of hypertension control in study population was far from optimal, especially in the group of patients at high- and very high-risk where target ABP was lower. Almost 12% of patients with uncontrolled ABP were still undergoing monotherapy, whereas 16% of patients were not recommended any modifications of antihypertensive treatment despite their ABP was not controlled.
Petrulionienė, Ž.; Apanavičienė, D.A. Evaluation of arterial hypertension control and treatment in daily practice of family physicians. Medicina 2010, 46, 657. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina46100093
Petrulionienė Ž, Apanavičienė DA. Evaluation of arterial hypertension control and treatment in daily practice of family physicians. Medicina. 2010; 46(10):657. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina46100093Chicago/Turabian Style
Petrulionienė, Žaneta, and Daiva A. Apanavičienė 2010. "Evaluation of arterial hypertension control and treatment in daily practice of family physicians" Medicina 46, no. 10: 657. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina46100093