Posicionamento Luso-Brasileiro de Emergências Hipertensivas – 2020

Abstract

Nota: estes Posicionamentos se prestam a informar e não a substituir o julgamento clínico do médico que, em última análise, deve determinar o tratamento apropriado para seus pacientes.

Factors associated with uncontrolled blood pressure in hypertensive Brazilians

“…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 The low adherence to drug treatment found, associated with uncontrolled BP, is a behavior also evidenced by other studies with adult hypertensive patients being treated for HBP. 8,9,16,21 Another study showed that good adherence to drug treatment was associated with better BP control in hypertensive patients.…”

“…The occurrence of emergency room care for HBP in the last 6 months was associated with lack of BP control; however, we did not find studies that evaluated this association, although several evidence points to the frequent search for emergency care for BP elevations 32 . High BP levels may be related to the frequency of times an individual goes to the emergency room, due to the presence of symptoms and/or complications, among the most common: headache, vertigo, pain in the precordial region, nausea, vomiting and others, with main focus on the neurological, cardiovascular, and renal systems 19 …”

“…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 …”

“…32 High BP levels may be related to the frequency of times an individual goes to the emergency room, due to the presence of symptoms and/or complications, among the most common: headache, vertigo, pain in the precordial region, nausea, vomiting and others, with main focus on the neurological, cardiovascular, and renal systems. 19 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.…”

Adherence to the treatment of systemic arterial hypertension in a cardiology outpatient clinic: a scope review

“…Nos países de maior desenvolvimento, as taxas de controle pressórico são maiores (28,4%) do que as de países com menor grau de desenvolvimento (7,7%). (2) Na realidade brasileira, estudo realizado em 2015 revela que a taxa de controle varia de 10,4% a 35,2% a depender da região do país. (3) Marques et al, em sua revisão sistemática realizada em 2018 (4) , destacaram os fatores associados à hipertensão arterial sistêmica: Idade e IMC elevados constam como as variáveis mais prevalentes.…”