I Brazilian Position Paper on Antihypertensive Drug Combination

“…This value corresponds to 11.5% of the total ARB prescriptions. This association is currently no longer accepted, 34 but it was tolerated when recommended with caution in patients with proteinuria, according to the VI DBH. 21 It should be noted that we did not evaluate the occurrence of proteinuria in the individuals evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

Compliance with the Prescription of Antihypertensive Medications and Blood Pressure Control in Primary Care

Novello

Rosa

Ferreira

et al. 2017

Arquivos Brasileiros De Cardiologia

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BackgroundHypertension is the most prevalent risk factor for cardiovascular disease, and its proper control can prevent the high morbidity and mortality associated with this disease.ObjectiveTo assess the degree of compliance of antihypertensive prescriptions with the VI Brazilian Guidelines on Hypertension and the blood pressure control rate in primary care.MethodsCross-sectional study conducted between August 2011 and November 2012, including 332 adults ≥ 45 years registered in the Family Doctor Program in Niteroi and selected randomly. The analysis included the prescribed antihypertensive classes, doses, and frequencies, as well as the blood pressure (BP) of the individuals.ResultsThe rate of prescription compliance was 80%. Diuretics were the most prescribed medications, and dual therapy was the most used treatment. The most common non-compliances were underdosing and underfrequencies. The BP goal in all cases was < 140/90 mmHg, except for diabetic patients, in whom the goal was set at < 130/80 mmHg. Control rates according to these goals were 44.9% and 38.6%, respectively. There was no correlation between prescription compliance and BP control.ConclusionsThe degree of compliance was considered satisfactory. The achievement of the targets was consistent with national and international studies, suggesting that the family health model is effective in BP management, although it still needs improvement.

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“…Many studies have been reporting a great relationship between age and HT [5][6][7][8] and it is due to changes in the mechanism of blood pressure (BP) control with advancing age [6,[9][10][11] . Moreover, a high consumption of antihypertensive medication has been observed especially in older population [12,13] .…”

Section: Introductionmentioning

confidence: 99%