Hypertensive diabetic patients: guidelines for conduct and their difficulties

Wk, Barroso; Jardim, Paulo César Brandão Veiga; Ts, Jardim; Cu, Souza; Al, Magalh es; Fm, Ibrahim; Pv, Couto; Silveira, Anderson Donelli da; Et, Monego

doi:10.1590/s0066-782x2003001000003

Cited by 12 publications

(40 citation statements)

References 31 publications

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“…It is worth noting that the control of diabetic hypertensives according to the cutoff point of 140/90 mm Hg corresponded to twice that adopting more severe blood pressure reductions recommended for that population 23,33,34 . Regarding the studies with elderly, three were population-based 35,36 , and the control rates varied from 27% to 44.6%, reaching 80% when blood pressure was assessed by using ABPM 37 .…”

Section: Resultsmentioning

confidence: 99%

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Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.

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Section: Resultsmentioning

confidence: 99%

“…Regarding the control of diabetic hypertensives, low rates were identified, ranging from 13.4% to 17.1%, considering the cutoff points of 130/80 or 130/85 mm Hg, respectively 23,33,34 . Those values corresponded to 50% of the control for the cutoff point of 140/90 mm Hg recommended for low to medium cardiovascular risk hypertensives.…”

Section: Discussionmentioning

confidence: 99%

Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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“…Given the positive results of the present study and previous studies involving patients from the same HTN treatment center, 14,16,17,33,34 the format adopted in our service can be a model for other centers handling patients diagnosed with HTN and aiming to implement a team-based strategy.…”

Section: Discussionmentioning

confidence: 70%

Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Jardim¹,

Souza²,

Barroso³

et al. 2020

Arquivos Brasileiros De Cardiologia

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Background: Although team-based care is recommended for patients with hypertension, results of this intervention in a real-world setting are missing in the literature. Objective: To report the results of a real-world long-term team-based care for hypertensive patients we conducted this study. Methods: Data of hypertensive patients attending a multidisciplinary treatment center located in the Midwest region of Brazil in June 2017 with at least two follow-up visits were retrospectively assessed. Anthropometric, blood pressure (BP), follow-up time, pharmacological treatment, diabetes and lifestyle data were collected from the last visit to the service. BP values < 140 x 90 mmHg in non-diabetics and < 130 x 80 mmHg in diabetics were considered controlled. A logistic regression model was built to identify variables independently associated to BP control. Significance level adopted p < 0.05. Results: A total of 1,548 patients were included, with a mean follow-up time of 7.6 ± 7.1 years. Most patients were female (73.6%; n=1,139) with a mean age of 61.8 ±12.8 years. BP control rates in all the sample, and in non-diabetics and diabetics were 68%, 79%, and 37.9%, respectively. Diabetes was inversely associated with BP control (OR 0.16; 95%CI 0.12-0.20; p<0.001) while age ≥ 60 years (OR 1.48; 95%CI 1.15-1.91; p=0.003) and female sex (OR 1.38; 95%CI 1.05-1.82; p=0.020) were directly associated. Conclusions: A BP control rate around 70% was found in patients attending a multidisciplinary team care center for hypertension. Focus on patients with diabetes, younger than 60 years and males should be given to further improve these results.

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“…This association can also be justified by factors that accompany hypertensive individuals and the profile of the sample. The frequency of hypertensive crises increases from the fifth decade of life onward, due to a linear increase in blood pressure levels, age progression, and less chance of BP control 2,19 …”

Section: Discussionmentioning

confidence: 99%

“…Factors associated with uncontrolled BP citation: Factors associated with BP noncontrol are widely studied nationally and internationally 2,[6][7][8][9][10]. …”

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confidence: 99%

Factors associated with uncontrolled blood pressure in hypertensive Brazilians

Araújo,

Borges,

Barroso

et al. 2022

J of Clinical Hypertension

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Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross-sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty-three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associatedThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Hypertensive diabetic patients: guidelines for conduct and their difficulties

Abstract: Our data reinforce the necessity of a more aggressive approach in the treatment of these patients, despite the social and economic difficulties in adhering to treatment.

Cited by 12 publications

References 31 publications

Hypertension Control in Brazilian Publications

Hypertension Control in Brazilian Publications

Controle da Pressão Arterial e Fatores Associados em um Serviço Multidisciplinar de Tratamento da Hipertensão

Factors associated with uncontrolled blood pressure in hypertensive Brazilians

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