Implementation of Guidelines for the Management of Arterial Hypertension. The Impulsion Study
| Autor: | Sotirios Matsiras, M. Baltatzi, Chysanthi Kamilali, Christos Savopoulos, Asterios Karagiannis, Athanasios Matziris, Theodoros Drakidis, Christos Papathanakis, Veronika Chatzikaloudi, Apostolos I. Hatzitolios, Georgios Theodosiou, Charalambos Charalambous, Kalliopi Deligianni, Jobst Rudolf, Vasilios G. Athyros, Dimitri P. Mikhailidis, Konstantinos Tziomalos |
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| Rok vydání: | 2009 |
| Předmět: |
Pathology
medicine.medical_specialty Framingham Risk Score treatment Medical treatment Vascular disease business.industry best practice Psychological intervention Cost Measures Vascular risk medicine.disease Article Institutional repository Blood pressure Hypertension Emergency medicine medicine vascular risk factors Cardiology and Cardiovascular Medicine business control |
| Zdroj: | The Open Cardiovascular Medicine Journal |
| ISSN: | 1874-1924 |
| DOI: | 10.2174/1874192400903010026 |
| Popis: | This study assessed the effects of a pilot best practice implementation enhancement program on the control of hypertension. We enrolled 697 consecutive known hypertensive patients with other vascular risk factors but free from overt vascular disease. There was no “control” group because it was considered unethical to deprive high-risk patients from “best medical treatment”. Following a baseline visit, previously trained physicians aimed to improve adherence to lifestyle measures and drug treatment for hypertension and other vascular risk factors. Both at baseline and at study completion (after 6 months), a 1-page form was completed showing if patients achieved treatment targets. If not, the reasons why were recorded. This program enhanced compliance with lifestyle measures and increased the use of evidence-based medication. There was a substantial increase in the number of patients who achieved treatment targets for blood pressure (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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