[PP.06.14] Influence of Anxiety and Depression on Blood Pressure Control in Ukraine by Euroaspire Iv-Primary Care Results.

Долженко, М. М.; Faradzh, C.; Konoplyanik, L.; Nudchenko, A.; Grubyak, L.; Djacheko, Y.A.; Lurje, S.; Сорока, Ю А

doi:10.1097/01.hjh.0000491747.32328.9a

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“…(24) In another study about hypertension, it was shown that despite antihypertensive treatment, mean systolic and diastolic BP in patients with moderate/severe depression was signi cantly higher, than in group of patients without depression. (25) In this study, we revealed 'fatigue' as confounding factor for elevated BP. On the contrary, in a research which investigated the relationship between fatigue and cardiac functioning, fatigue was not associated with BP at rest and no signi cant differences were found in heart rate or BP response between the various fatigue groups.…”

Section: Discussionmentioning

confidence: 62%

Effects of Confounding Factors on Blood Pressure in Hypertensive Patients: A Cross Sectional Study

Ersoy¹,

Ardıç²

2021

Preprint

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Background Blood pressure is influenced by biopsychosocial factors such as physical, environmental, emotional, cognitive and behavioral in hypertensive patients. ObjectiveThe aim of this study is to investigate confounding factors in hypertensive patients who have poor blood pressure control.DesignThis study was designed as a cross-sectional study.ParticipantsOur sample was 407 patients with hypertension in Rize, a Northern city in the Black Sea Region of Turkey. In study group, there were 207 hypertensive patients who had admission to emergency department due to high blood pressure. In control group, there were 200 hypertensive patients visiting family physician,who defined themselves as having regulated blood pressure over the past six months.Main MeasuresPatients completed the questionnaire including sociodemographic data, lifestyle behaviors, health risks and confounding factors via the face-to-face interview method. Key ResultsOf the hypertensive patients, 81.2% (n=168) of the study group and 34.0% (n=68) of the control group had confounding factors. There was a significant difference between the hypertensive patients of study and control group in terms of their confounding factors (p<0.001). When we asked the patients of study group questions to reveal their confounding factors, 21.3% (n=44) stated ‘anger’, 12.6% (n=26) ‘sadness’, 11.1% (n=23) ‘anxiety’, 10.6% (n=22) ‘depressed’, 9.2% (n=19) ‘unhealthy diet’, 7.2% (n=15) ‘fatigue and poor sleep quality’, and 3.9% (n=8) ‘irregular medication’. Mean systolic and diastolic blood pressure were significantly higher in hypertensive patients having confounding factors than those without confounding factors (p=0.001, p=0.001, respectively). Mean systolic blood pressure of hypertensives who stated their confounding factor as ‘anger’ was significantly higher than those the remaining groups (p<0.001).ConclusionsThis study has shown that confounding factors impair blood pressure control in patients with hypertension. Confounding factors should be kept in mind and revealed in case of poor blood pressure control in hypertensive patients.

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Section: Discussionmentioning

confidence: 62%