Ezequiel Forte, Ana Constanza Lagos, Carlos Pedroza, Schnyder Ezequiel, Federico Graziano, Juan Navarro
Antecedentes: La hipertensión (HTN) es uno de los principales factores que aumentan la "carga" de la enfermedad aterosclerótica.Objetivo: Analizar las características, el tratamiento y el grado de control en pacientes (p) atendidos por cardiólogos.Método: Se realizó un estudio transversal en 13 consultorios de cardiología.Resultados: Se enrolaron 519p en 3 meses, hombres 44.9%, edad 61.5 años, tiempo HTN 11.2 años, enfermedad cardiovascular (ECV) 24%, BP promedio 133/ 79.8 mmHg. Entre los pacientes sin ECV el 73% tenían riesgo bajo (<10%). El 39.1% recibía dos drogas, 26.8% tres, 24.7% uno, 7.9% cuatro y 1.35% cinco drogas. Finalmente, el 60,5% de la p estaba en el objetivo de BP (TA <140/90 mmHg).Conclusiones: En pacientes con HTN evaluados en nuestra área geográfica, observamos pacientes de bajo riesgo, con un alto uso de combinaciones farmacológicas. El 60% de ellos logran el objetivo de BP.
Background: Hypertension is one of the main factors that increase the “burden” of atherosclerotic disease.Objective: The aim of this study was to analyze the characteristics, treatment and degree of control in patients treated bycardiologists in our area of influence.Material and methods: A cross-sectional study was carried out in 13 cardiology offices analyzing hypertensive patients’ clinicalcharacteristics, blood pressure and pharmacological treatment.Results: A total of 519 patients with the following characteristics were enrolled during a 3-month period: 44.9% were men,mean age was 61.5 years, the spell of hypertension was 11.2 years, 24% of patients had cardiovascular disease and mean bloodpressure was 133/79.8 mmHg. Among patients without cardiovascular disease, 73% had low cardiovascular risk (<10%). Hypertensivetreatment showed that 39.1% of patients were receiving two drugs, 26.8% three, 24.7% one, 7.9% four and 1.35%five drugs. Finally, 60.5% of patients was within the target blood pressure (<140/90 mmHg).Conclusions: Hypertensive patients evaluated in our geographical area presented low cardiovascular risk and high use ofpharmacological combinations. Pressure targets were achieved in 60% of cases.
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