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Submit Manuscript | http://medcraveonline.com Abbreviations: ACC, american college of cardiology; AHA, american heart association; DBP, diastolic blood pressure; SBP, systolic blood pressure; HDL-C, high-density lipoproteins; LDL-C, to low-density lipoproteins. AbstractIntroduction: The 2017 ACC/AHA guideline recommends the use of lower pressure values to define hypertension. Aim and methods:A multicenter, descriptive, cross-sectional study was performed. The objectives were: 1) to determine what proportion of non-hypertensive patients according to the previous recommendations in primary prevention were diagnosed as hypertensive by the 2017 ACC/AHA guideline; 2) to establish how many patients should receive pharmacological treatment; 3) To determine reasons to justify the indication of antihypertensive therapy. Results:A total of 600 patients (mean age 50.3±11.3 years, 43.0% men) were included. According to the new guideline, 47.5% of the patients were classified as hypertensive (men 56.6% vs. women 40.6%). Within this group, 29.5% were candidates to receive antihypertensive drugs (men 40.4% vs. women 19.4%). Conclusion: Applying the new guide in a non-hypertensive population according to the previous recommendations, led to diagnose approximately 50% more hypertensive patients and indicate antihypertensive therapy in a third of them. Citation: Masson W, Huerín M, Lobo M, et al. The new guidelines of high blood pressure substantially increase prevalence of hypertension in Argentina. Int J Fam Commun Med. 2018;2(2):33-36. Citation: Masson W, Huerín M, Lobo M, et al. The new guidelines of high blood pressure substantially increase prevalence of hypertension in Argentina. Int J Fam Commun Med. 2018;2(2):33-36.
Submit Manuscript | http://medcraveonline.com Abbreviations: ACC, american college of cardiology; AHA, american heart association; DBP, diastolic blood pressure; SBP, systolic blood pressure; HDL-C, high-density lipoproteins; LDL-C, to low-density lipoproteins. AbstractIntroduction: The 2017 ACC/AHA guideline recommends the use of lower pressure values to define hypertension. Aim and methods:A multicenter, descriptive, cross-sectional study was performed. The objectives were: 1) to determine what proportion of non-hypertensive patients according to the previous recommendations in primary prevention were diagnosed as hypertensive by the 2017 ACC/AHA guideline; 2) to establish how many patients should receive pharmacological treatment; 3) To determine reasons to justify the indication of antihypertensive therapy. Results:A total of 600 patients (mean age 50.3±11.3 years, 43.0% men) were included. According to the new guideline, 47.5% of the patients were classified as hypertensive (men 56.6% vs. women 40.6%). Within this group, 29.5% were candidates to receive antihypertensive drugs (men 40.4% vs. women 19.4%). Conclusion: Applying the new guide in a non-hypertensive population according to the previous recommendations, led to diagnose approximately 50% more hypertensive patients and indicate antihypertensive therapy in a third of them. Citation: Masson W, Huerín M, Lobo M, et al. The new guidelines of high blood pressure substantially increase prevalence of hypertension in Argentina. Int J Fam Commun Med. 2018;2(2):33-36. Citation: Masson W, Huerín M, Lobo M, et al. The new guidelines of high blood pressure substantially increase prevalence of hypertension in Argentina. Int J Fam Commun Med. 2018;2(2):33-36.
La hipertensión arterial (HTA) es uno de los principales problemas de salud pública, pilar de las enfermedades cardiovasculares, las que representan la mayor causa de muerte en el Paraguay. Por lo tanto, su tratamiento óptimo es indispensable para disminuir las muertes y mejorar la calidad de vida de los pacientes. El Hospital Central del Instituto de Previsión Social es un centro nacional de referencia en Paraguay, donde se atienden a pacientes complejos, con muchas comorbilidades. Objetivo: Describir las características clínicas de los pacientes y el tratamiento anti hipertensivo prescrito a su externación del Servicio de Clínica Médica II del Hospital Central del Instituto de Previsión Social de marzo a mayo del año 2019.Metodología: Estudio observacional, descriptivo, de corte transversal, muestreo no probabilístico de casos consecutivos, se incluirán a pacientes externados del servicio con diagnóstico de Hipertensión arterial. Resultados: Fueron incluidos 226 pacientes con diagnóstico de egreso de Hipertensión arterial, la edad promedio fue de 64±16,5 años, distribución de sexo ligero predominio de mujeres (52,2%) distribución igual entre procedencia urbana y rural. El 22,5% no se conocía portador de HTA, el 39,8% eran portadores de insuficiencia cardiaca, 34,1% diabéticos, 23,0% con nefropatía crónica, 22,6% con algún tipo de neoplasia, 18,6% dislipidémicos, 31,9% con antecedente de tabaquismo, 15,5% había sufrido ictus anteriormente. Antes del ingreso el 47,7% utilizaba monoterapia, el más frecuente era el losartán. Al egreso la monoterapia fue indicada solo al 21,7% y la terapia combinada fue la más prevalente. El segundo fármaco más asociado fue la amlodipina. Conclusión: Ligero predominio de mujeres, las comorbilidades más frecuentes fueron la insuficiencia cardiaca, la diabetes mellitus, la nefropatía crónica y neoplasias. La mayoría antes del ingreso utilizaba solo un fármaco, al egreso hospitalario esto cambió a terapia combinada de dos hasta cuatro fármacos.
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