National Registry of Hypertension Control Evaluated by Office and Home Measurements: The LHAR National Registry.

Autor:	Miranda RD; Serviço de Cardiologia, Disciplina de Geriatria e Gerontologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP - Brasil., Brandão AA; Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ - Brasil., Barroso WKS; Liga de Hipertensão Arterial - Hospital das Clínicas - Universidade Federal de Goiás, Goiânia, GO - Brasil., Mota-Gomes MA; Centro Universitário CESMAC, Hospital do Coração, Maceió, AL - Brasil., Barbosa ECD; Liga de Combate à Hipertensão Arterial, Porto Alegre, RS - Brasil., Ribeiro LP; Beliva, Recife, PE - Brasil., Aguilar CA; Hospital Clínica do Esporte, Goiânia, GO - Brasil., Silveira FS; Centro de Pesquisa Clínica do Coração, Aracaju, SE - Brasil., Gomes CMR; Clínica Dicor, Saquarema, RJ - Brasil., Epelman A; Servier do Brasil, Rio de Janeiro, RJ - Brasil., Paiva AMG; Centro Universitário CESMAC, Hospital do Coração, Maceió, AL - Brasil., Feitosa ADM; Unidade de Hipertensão e Cardiologia Preventiva do PROCAPE, Universidade de Pernambuco, Recife, PE - Brasil.
Jazyk:	English; Portuguese
Zdroj:	Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2023 Jul; Vol. 120 (8), pp. e20220863.
DOI:	10.36660/abc.20220863
Abstrakt:	Background: It is known that around 30% of patients have higher blood pressure (BP) values when examined at the office than at home. Worldwide, only 35% of patients with hypertension undergoing treatment have reached their BP targets. Objective: To provide epidemiological data on BP control in the offices of a sample of Brazilian cardiologists, considering office and home BP measurement. Methods: This is a cross-sectional analysis of patients with a hypertension diagnosis and undergoing antihypertensive treatment, with controlled BP or not. BP was assayed in the office by a medical professional and at home using home BP monitoring (HBPM). The association between categorical variables was verified using the chi-square test (p<0.05). Results: The study included 2540 patients, with a mean age of 59.7 ± 15.2 years. Most patients were women (62%; n=1575). Prevalence rates of 15% (n=382) for uncontrolled white coat hypertension and 10% (n=253) for uncontrolled masked hypertension were observed. The rate of BP control in the office was 56.3% and at home, 61%. Meanwhile, 46.4% of the patients had controlled BP in and outside of the office. Greater control was observed in women and in the 49-61 years age group. Considering the new DBHA 2020 threshold for home BP control, the control rate was 42.4%. Conclusion: BP control in the offices of a sample of Brazilian cardiologists was 56.3%; this rate was 61% when BP was measured at home and 46.4% when considering both the office and home.
Databáze:	MEDLINE
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