Marija Petek Šter (Avtor), Janko Kersnik (Avtor)

Povzetek

Background Ambulatory blood pressure monitoring (ABPM) gives important additional information to office blood-pressure measurements in diagnostic andtreatment of patients with high blood pressure. The aim of our survey is tofind out the impact of ABPM on management of arterial hypertension in primary care.Patients and We included 339 consecutive patients with uncontrolled arterial hypertension, treated with methods at least two different antihypertensive drug classes in 38 general practitionerćs offices in Slovenia. We randomly divided patients into the test (ABPM) and the controlgroup (office measurements only). After 12 weeks we assessed the impactof ABPM on management of arterial hypertension. results We analysed dataof 339 patients: 160 in the testing and 179 in the control group, aged from 34 to 80 years (mean 61.4 years, SD 9.8 years) with mean systolic blood pressure 159.2 (SD 12.5) mm Hg and mean diastolic blood pressure 92.1 (SD 8.7)mm Hg. 45 (28.1 %) of patients after ABPM have controlled blood pressure. Possibility for controlled blood pressure is higher in female (OR = 5.445, 95 % CI: 2.16-13.76) and patients with lower mean office blood pressure (OR = 0.931, 95 % CI: 0.84-0.97). Performance of ABPM did not have impact on the number of hypertension related office visits (1.6 in tested vs. 1.7 in controlgroup, p = 0.306). Patients in the testing group less often underwent changes of antihypertensive drug therapy (52.5 % vs. 66.5 % in the control group, p = 0.009). Conclusions White coat effect is common in patients on combined antihypertensive therapy in primary care. APBM did not reduce the number of office visits, but reduced the probability of antihypertensive drug changes.

Ključne besede

arterijska hipertenzija;ambulanta družinske medicine;24-urno neinvazivno merjenje krvnega tlaka;spremljanje;zdravljenje z zdravili;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 1.01 - Izvirni znanstveni članek
Organizacija: UM MF - Medicinska fakulteta
Založnik: Slovensko zdravniško društvo
UDK: 614
COBISS: 25971929 Povezava se bo odprla v novem oknu
ISSN: 1318-0347
Matična publikacija: Zdravniški vestnik
Št. ogledov: 1088
Št. prenosov: 96
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Impact of 24-hours non-invasive blood pressure monitoring on hypertension management in general practice
Sekundarni povzetek: Background: Ambulatory blood pressure monitoring (ABPM) gives important additional information to office blood-pressure measurements in diagnostic andtreatment of patients with high blood pressure. The aim of our survey is to find out the impact of ABPM on management of arterial hypertension in primary care. Patients and methods: We included 339 consecutive patients with uncontrolled arterial hypertension, treated with methods at least two different antihypertensive drug classes in 38 general practitioner's offices in Slovenia. We randomly divided patients into the test (ABPM) and the control group (office measurements only). After 12 weeks we assessed the impact of ABPM on management of arterial hypertension. Results: We analysed data of 339 patients: 160 in the testing and 179 in the control group, aged from 34 to 80 years (mean 61.4 years, SD 9.8 years) with mean systolic blood pressure 159.2 (SD 12.5) mm Hg and mean diastolic blood pressure 92.1 (SD 8.7)mm Hg. 45 (28.1 %) of patients after ABPM have controlled blood pressure. Possibility for controlled blood pressure is higher in female (OR = 5.445, 95 % CI: 2.16-13.76) and patients with lower mean office blood pressure (OR = 0.931, 95 % CI: 0.84-0.97). Performance of ABPM did not have impact on the number of hypertension related office visits (1.6 in tested vs. 1.7 in controlgroup, p = 0.306). Patients in the testing group less often underwent changes of antihypertensive drug therapy (52.5 % vs. 66.5 % in the control group, p = 0.009). Conclusions: White coat effect is common in patients on combined antihypertensive therapy in primary care. APBM did not reduce the number of office visits, but reduced the probability of antihypertensive drug changes.
Sekundarne ključne besede: Hypertension;Drug Therapy;Blood Pressure Monitoring, Ambulatory;Antihypertensive Agents;Family Practice;Krvni pritisk, ambulantno merjenje;Antihipertenzivi;Družinska medicina;Hipertenzija;
URN: URN:NBN:SI
Vrsta dela (COBISS): Znanstveno delo
Strani: str. 295-301
Letnik: ǂLetn. ǂ78
Zvezek: ǂšt. ǂ6/7
Čas izdaje: 2009
ID: 9594779