Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em um centro de referência
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Data
2015
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Resumo
Background: Hypertension is a public health problem, considering its high prevalence, low control rate and cardiovascular complications.
Objective: Evaluate the control of blood pressure (BP) and cardiovascular outcomes in patients enrolled at the Reference Center for Hypertension
and Diabetes, located in a medium-sized city in the Midwest Region of Brazil.
Methods: Population-based study comparing patients enrolled in the service at the time of their admission and after an average follow-up of
five years. Participants were aged ≥18 years and were regularly monitored at the Center up to 6 months before data collection. We assessed
demographic variables, BP, body mass index, risk factors, and cardiovascular outcomes.
Results: We studied 1,298 individuals, predominantly women (60.9%), and with mean age of 56.7 ± 13.1 years. Over time, there was a significant
increase in physical inactivity, alcohol consumption, diabetes, dyslipidemia, and excessive weight. As for cardiovascular outcomes, we observed an
increase in stroke and myocardial revascularization, and a lower frequency of chronic renal failure. During follow-up, there was significant improvement
in the rate of BP control (from 29.6% to 39.6%; p = 0.001) and 72 deaths, 91.7% of which were due to cardiovascular diseases.
Conclusion: Despite considerable improvements in the rate of BP control during follow-up, risk factors worsened and cardiovascular
outcomes increased.
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Hipertensão, Complicações, Fisiopatologia, Doenças cardiovasculares, Fatores de risco, Indicadores de morbimortalidade, Pressão arterial, Hypertension, Arterial pressure, Physiopathology, Cardiovascular diseases, Risk factors, Indicators of morbidity
Citação
GUIMARÃES FILHO, Gilberto Campos et al. Evolução da pressão arterial e desfechos cardiovasculares de hipertensos em um centro de referência. Arquivos Brasileiros de Cardiologia, Rio de Janeiro, v. 104, n. 4, p. 292-298, 2015.