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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Evaluation of arterial hypertension control and treatment in daily practice of family physicians

1
Center of Cardiology and Angiology, Vilnius University Hospital Santariškių klinikos
2
Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University
3
Sanofi-Aventis Lietuva, ” Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2010, 46(10), 657; https://doi.org/10.3390/medicina46100093
Received: 2 November 2009 / Accepted: 5 October 2010 / Published: 10 October 2010
The objective of this study was to evaluate the percentage of patients with primary arterial hypertension treated with antihypertensive drug(s), who achieved target arterial blood pressure (ABP), and to compare the characteristics of patients with controlled and uncontrolled ABP, their current treatment, and treatment modifications.
Material and methods. A total of 429 18–80-year-old patients with primary arterial hypertension treated for ≥1 year participated in this study. General practitioners collected data on patients’ demographic and clinical characteristics, current treatment for primary arterial hypertension, and treatment modifications.
Results
. According to physicians, 45.4% of patients achieved target ABP levels. Adequately controlled ABP was documented more often in the group of low and moderate cardiovascular risk than in high- and very high-risk group (n=141, 62.9% versus n=54, 26.3%; P<0.0001). Based on ABP measurements, 160 (37.3%) patients had ABP of <140/90 mm Hg. The majority of patients were treated with a combination of two (n=153, 35.7%) to three (n=144, 33.6%) antihypertensive drugs. Patients with uncontrolled ABP more frequently than patients with controlled ABP were given combination therapy. Treatment was not modified in 37.8% (n=162) of patients, more commonly in those with controlled ABP.
Conclusions. The level of hypertension control in study population was far from optimal, especially in the group of patients at high- and very high-risk where target ABP was lower. Almost 12% of patients with uncontrolled ABP were still undergoing monotherapy, whereas 16% of patients were not recommended any modifications of antihypertensive treatment despite their ABP was not controlled.
Keywords: arterial hypertension; blood pressure control; antihypertensive drugs arterial hypertension; blood pressure control; antihypertensive drugs
MDPI and ACS Style

Petrulionienė, Ž.; Apanavičienė, D.A. Evaluation of arterial hypertension control and treatment in daily practice of family physicians. Medicina 2010, 46, 657.

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