The COMmon control of hypErtenSion and Therapeutic Attitudes in BelgIum and Luxemburg study (COME STAI)
| العنوان: | The COMmon control of hypErtenSion and Therapeutic Attitudes in BelgIum and Luxemburg study (COME STAI) |
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| المؤلفون: | Philippe, van de Borne, Luc, Missault, Alexandre, Persu, Walter, Van Mieghem |
| المصدر: | Acta Cardiologica. 71:35-40 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Health Knowledge, Attitudes, Practice, Luxembourg, Blood Pressure, Guidelines as Topic, Body Mass Index, Age Distribution, Belgium, Risk Factors, Surveys and Questionnaires, Prevalence, Humans, Sex Distribution, Antihypertensive Agents, Aged, Aged, 80 and over, Dose-Response Relationship, Drug, Reproducibility of Results, Blood Pressure Determination, General Medicine, Middle Aged, Health Surveys, Treatment Outcome, Hypertension, Female, Cardiology and Cardiovascular Medicine, Attitude to Health |
| الوصف: | The aim of this study was to assess hypertension management in general practice in Belgium and Luxembourg, shortly before the publication of the 2013 ESH/ESC Guidelines for arterial hypertension management.A total of 516 general physicians evaluated 10,078 consecutive hypertensive patients. All used the same definitions to assess cardiovascular risk.Systolic (S) blood pressure (BP) was 139 ± 19 mmHg, diastolic (D) BP 80 ± 11 mmHg, patients were 64 ± 13 years old and their body mass index (BMI) was 28 ± 5 kg/m2 (mean ± SD). Treatment remained unchanged in 71% of the patients with a SBP ≥ 140 mmHg. Those on ≥ 2 antihypertensive drugs were older, had higher BMI, slower HR, higher perceived cardiovascular risk, but lower BP (all P ≤ 0.001 vs no and monotherapy groups). Patients in whom treatment was intensified were at higher cardiovascular risk, as substantiated by an increased prevalence of males, a higher BP, a faster HR and a larger BMI (all P ≤ 0.0001). High cardiovascular risk patients underwent more frequent treatment simplifications with fixed-combination therapies or the addition of another antihypertensive class (all P ≤ 0.0001 vs not at high cardiovascular risk). Among the 523 patients older than 80 years with SBP ≥ 140 mmHg, treatment intensification occurred in 32% when SBP ≥ 150 mmHg, and in 10% when SBP was between 140 and 149 mmHg (P ≤ 0.0001).The COME STAI study suggests that there is still room for improvement in hypertension control in Belgium and Luxembourg. |
| تدمد: | 0373-7934 0001-5385 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::46b0265f82a0e8cee0b4677e5d3a8310Test https://doi.org/10.1080/ac.71.1.3132095Test |
| رقم الانضمام: | edsair.doi.dedup.....46b0265f82a0e8cee0b4677e5d3a8310 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 03737934 00015385 |
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