Use of oral antihypertensive medication preceding blood pressure elevation in hospitalized patients

Abstract

Objective -To evaluate the frequency of oral antihypertensive medication preceding the increase in blood pressure in patients in a university hospital, the drug of choice, and the maintained use of antihypertensive medication. Methods -

Factors associated with uncontrolled blood pressure in hypertensive Brazilians

“…Although we have not found yet studies of negative association between the presence of dyslipidemia and lack of BP control, several authors have confirmed that dyslipidemia is a common comorbidity among the hypertensive population, with a prevalence from 41.13% 18 to 69.4% 40 . This association, in our sample, may be related to the patients' healthier lifestyle, influenced by the diagnosis of the disease and its clarification.…”

Análise da prescrição de captopril em pacientes hospitalizados

“…Another study 5 conducted in the same hospital in 1997 demonstrated that nifedipine was widely prescribed in the same situation, although captopril was already prescribed in 4.3% of the cases. The authors pointed out that there was a possible trend towards substituting nifedipine for captopril and attributed this to the publication of studies about the potential risks of using nifedipine in fast acting formulations for the treatment of hypertension 5 .…”

“…The higher frequency of captopril prescription in surgical than in clinical wards may be related with the different interpretations by clinicians and surgeons as regards the approach to hypertension and the specifics of surgical and clinical environments 5 . Similarly, the higher frequency in surgical wards could also be related to the lack of careful pre-surgical assessment and to the surgeons' concern about patients developing hypertensive peaks perioperatively to the detriment of long-term BP control 5 .…”

“…Similarly, the higher frequency in surgical wards could also be related to the lack of careful pre-surgical assessment and to the surgeons' concern about patients developing hypertensive peaks perioperatively to the detriment of long-term BP control 5 . In the cases of BP elevation preoperatively, the antihypertensive therapy should be maintained until the minutes before the surgical procedure, and injectable antihypertensive medication should be used in cases of hypertensive crisis 4,5 .…”

The challenge of blood pressure control in patients with ischaemic heart disease in Europe

“…Rather, the results suggest that patients are not receiving adequate BP-lowering treatment. Indeed, in 50% of hospitalized patients studied by de Macedo et al (20) extemporaneously prescription of antihypertensive medication was not associated with maintained antihypertensive treatment. In the study of Berlowitz et al (21), physicians did not increase medications during about threequarters of visits in which elevated BP values were recorded.…”