AI Article Synopsis
- - The study examines blood pressure (BP) control among Brazilian patients diagnosed with hypertension, revealing that 30% of patients exhibit higher BP in office settings compared to home measurements.
- - It analyzed data from 2,540 patients, finding that 56.3% had controlled BP in the office and 61% at home, with notable control differences based on gender and age group.
- - Overall BP control, when considering both environments, was only 46.4%, and only 42.4% of patients met the new 2020 guidelines for home BP control.
Article Abstract
Background: It is known that around 30% of patients have higher blood pressure (BP) values when examined at the office than at home. Worldwide, only 35% of patients with hypertension undergoing treatment have reached their BP targets.
Objective: To provide epidemiological data on BP control in the offices of a sample of Brazilian cardiologists, considering office and home BP measurement.
Methods: This is a cross-sectional analysis of patients with a hypertension diagnosis and undergoing antihypertensive treatment, with controlled BP or not. BP was assayed in the office by a medical professional and at home using home BP monitoring (HBPM). The association between categorical variables was verified using the chi-square test (p<0.05).
Results: The study included 2540 patients, with a mean age of 59.7 ± 15.2 years. Most patients were women (62%; n=1575). Prevalence rates of 15% (n=382) for uncontrolled white coat hypertension and 10% (n=253) for uncontrolled masked hypertension were observed. The rate of BP control in the office was 56.3% and at home, 61%. Meanwhile, 46.4% of the patients had controlled BP in and outside of the office. Greater control was observed in women and in the 49-61 years age group. Considering the new DBHA 2020 threshold for home BP control, the control rate was 42.4%.
Conclusion: BP control in the offices of a sample of Brazilian cardiologists was 56.3%; this rate was 61% when BP was measured at home and 46.4% when considering both the office and home.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464860 | PMC |
| http://dx.doi.org/10.36660/abc.20220863 | DOI Listing |
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