| Autor: |
Guerra-Riccio GM; Hypertension Unit-Heart Institute, Faculty of Medicine of the University of São Paulo, São Paulo SP, Brazil., Artigas Giorgi DM, Consolin-Colombo FM, Barreto-Filho JA, Lopes HF, Fleury Camargo AL, Moacyr Krieger E |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of hypertension [Am J Hypertens] 2004 Jun; Vol. 17 (6), pp. 523-8. |
| DOI: |
10.1016/j.amjhyper.2004.02.007 |
| Abstrakt: |
Arterial hypertension is a public health problem and patient adherence to treatment is challenging. This study tested whether frequent nurse visits provide additional benefits to antihypertensive treatment. Every 30 days, a pharmacist visited these patients to deliver antihypertensive drugs and perform a pill count. Nurses visited group A (48 patients) every 15 days and group B (52 patients) every 90 days. Ambulatory blood pressure (BP) monitoring was performed 15 and 180 days after randomization. At randomization, groups A and B had the same clinical systolic (191 +/- 5 v 186 +/- 3 mm Hg) and diastolic BP levels (122 +/- 3 v 117 +/- 4 mm Hg), respectively. After 90 days, BP declined more in group A than in group B (35 +/- 5/19 +/- 3 v 27 +/- 5/9 +/- 3 mm Hg). At 180 days, the difference increased because the reduction persisted in group A but decreased in group B (36 +/- 6/21 +/- 4 v 17 +/- 4/10 +/- 2 mm Hg). The mean ambulatory BP monitoring values were similar in both groups at 15 and 180 days. However, the attenuation of the clinic-daytime BP difference was larger in group A than in group B (systolic, -13 +/- 4 v -3 +/- 4 mm Hg; diastolic -11 +/- 3 v -4 +/- 3 mm Hg). The patients with clinic-daytime differences decreased more in group A (systolic, 16 to 10; diastolic, 20 to 14) than in group B (systolic, 19 and 20; diastolic, 22 and 22). These data indicate that frequent nurse visits significantly attenuate the white coat effect (clinic daytime BP difference). |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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