AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.58043/rphrc.3 |
Resumo: | Introduction: Arterial hypertension is associated with high morbidity and mortality, with its prevalence estimated in Portugal at 29.1%. Blood pressure (BP) measurements in office and out-of-office are essential to confirm diagnosis. The 24-hour Ambulatory Blood Pressure Monitoring (ABPM) presents itself as the gold standard, being one of the advantages versus office measurements being the identification of white and masked hypertension. However, this exam is of limited access in Primary Care (PC), so the Health Unit (HU) of São Julião purchased equipment and started to perform this exam free of charge.Objectives: To determine the profile of results and diagnoses obtained after the ABPM.Methods: Observational, descriptive, and cross-sectional study. Data were collected from ABPM related interviews at HU São Julião during 2019. According to the existence of antihypertensive therapy, we analyzed the BP values in the office and ABPM, making the diagnosis based on the guidelines of the European Society of Hypertension.Results: From 46 ABPM, 43 valid exams were included. Of the 21 ABPM performed on users without antihypertensive therapy, we identified 90.5% of hypertension and 9.5% of normotensive individuals. In individuals with hypertension, the majority presented sustained hypertension (63.5%), 21.1% white coat hypertension and 15.7% masked hypertension. In users with antihypertensive therapy, it was found that about 68.2% uncontrolled hypertension. Of these 46.6% had uncontrolled white coat hypertension, 26.7% uncontrolled masked hypertension and 26.7% sustained uncontrolled hypertension.Discussion: Similar to other studies, the studied population had a significant prevalence of white coat and masked hypertension, in individuals with or without antihypertensive treatment. These data may influence clinical practice and demonstrate the added value of accessing ABPM in PC. |
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AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSIONMAPA NA USF – REALIDADE DIAGNÓSTICA DA HIPERTENSÃO ARTERIALIntroduction: Arterial hypertension is associated with high morbidity and mortality, with its prevalence estimated in Portugal at 29.1%. Blood pressure (BP) measurements in office and out-of-office are essential to confirm diagnosis. The 24-hour Ambulatory Blood Pressure Monitoring (ABPM) presents itself as the gold standard, being one of the advantages versus office measurements being the identification of white and masked hypertension. However, this exam is of limited access in Primary Care (PC), so the Health Unit (HU) of São Julião purchased equipment and started to perform this exam free of charge.Objectives: To determine the profile of results and diagnoses obtained after the ABPM.Methods: Observational, descriptive, and cross-sectional study. Data were collected from ABPM related interviews at HU São Julião during 2019. According to the existence of antihypertensive therapy, we analyzed the BP values in the office and ABPM, making the diagnosis based on the guidelines of the European Society of Hypertension.Results: From 46 ABPM, 43 valid exams were included. Of the 21 ABPM performed on users without antihypertensive therapy, we identified 90.5% of hypertension and 9.5% of normotensive individuals. In individuals with hypertension, the majority presented sustained hypertension (63.5%), 21.1% white coat hypertension and 15.7% masked hypertension. In users with antihypertensive therapy, it was found that about 68.2% uncontrolled hypertension. Of these 46.6% had uncontrolled white coat hypertension, 26.7% uncontrolled masked hypertension and 26.7% sustained uncontrolled hypertension.Discussion: Similar to other studies, the studied population had a significant prevalence of white coat and masked hypertension, in individuals with or without antihypertensive treatment. These data may influence clinical practice and demonstrate the added value of accessing ABPM in PC.Introdução: A Hipertensão Arterial (HTA) está associada a elevada morbimortalidade, sendo a sua prevalência estimada em Portugal de 29,1%. Os valores de Pressão Arterial (PA) do consultório e em ambulatório são essenciais para o diagnóstico. O Monitorização da Pressão Arterial em Ambulatório (MAPA) de 24h apresenta-se como uma opção de referência, sendo umas das vantagens a identificação da HTA de bata branca e mascarada. Contudo, este exame é de limitado acesso em Cuidados de Saúde Primários (CSP). A Unidade de Saúde Familiar (USF) São Julião adquiriu um equipamento e iniciou a realização deste exame de maneira gratuita.Objetivos: Determinar o perfil de resultados e diagnósticos obtidos após a realização do MAPA.Métodos: Estudo observacional, descritivo e transversal. Recolheram-se dados das entrevistas relacionadas com o MAPA na USF São Julião durante 2019. De acordo com a existência de terapêutica anti-hipertensiva, analisamos os valores de PA no consultório e do MAPA, efectuando o diagnóstico com base nas guidelines da Sociedade Europeia de Hipertensão.Resultados: De 46 MAPA foram incluídos 43 exames válidos. Dos 21 MAPA realizados a utentes sem terapêutica anti-hipertensiva identificamos 90,5% de HTA e 9,5% de normotensos. Nos utentes com HTA, a maioria apresentou HTA Sustentada (63,5%), 21,1% HTA de Bata Branca e 15,7% de HTA Mascarada. Nos utentes com terapêutica anti-hipertensiva, verificou-se que cerca de 68,2% HTA não controlada. Destes 46,6% tinham HTA de Bata Branca não controlada, 26,7% HTA mascarada não controlada e 26,7% HTA sustentada não controlada. Discussão: A população estudada apresentou uma prevalência significativa de HTA de bata branca e HTA mascarada, em utentes com ou sem tratamento anti-hipertensivo, semelhante a outros estudos. Estes dados poderão influenciar a prática clínica e demonstram a mais- valia do acesso a MAPA em CSP.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-05-10info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.3https://doi.org/10.58043/rphrc.3Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 87 (2022): Janeiro - Fevereiro; 8-131646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/3https://revistahipertensao.pt/index.php/rh/article/view/3/8Paz, GilMartinho, Ana MartaGomes, BárbaraBento, Ana Sofiainfo:eu-repo/semantics/openAccess2024-02-03T07:36:09Zoai:ojs.revistahipertensao.pt:article/3Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:06.845681Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION MAPA NA USF – REALIDADE DIAGNÓSTICA DA HIPERTENSÃO ARTERIAL |
title |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
spellingShingle |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION Paz, Gil |
title_short |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
title_full |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
title_fullStr |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
title_full_unstemmed |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
title_sort |
AMBULATORY BLOOD PRESSURE MONITORING IN PRIMARY CARE – DIAGNOSTIC REALITY OF ARTERIAL HYPERTENSION |
author |
Paz, Gil |
author_facet |
Paz, Gil Martinho, Ana Marta Gomes, Bárbara Bento, Ana Sofia |
author_role |
author |
author2 |
Martinho, Ana Marta Gomes, Bárbara Bento, Ana Sofia |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Paz, Gil Martinho, Ana Marta Gomes, Bárbara Bento, Ana Sofia |
description |
Introduction: Arterial hypertension is associated with high morbidity and mortality, with its prevalence estimated in Portugal at 29.1%. Blood pressure (BP) measurements in office and out-of-office are essential to confirm diagnosis. The 24-hour Ambulatory Blood Pressure Monitoring (ABPM) presents itself as the gold standard, being one of the advantages versus office measurements being the identification of white and masked hypertension. However, this exam is of limited access in Primary Care (PC), so the Health Unit (HU) of São Julião purchased equipment and started to perform this exam free of charge.Objectives: To determine the profile of results and diagnoses obtained after the ABPM.Methods: Observational, descriptive, and cross-sectional study. Data were collected from ABPM related interviews at HU São Julião during 2019. According to the existence of antihypertensive therapy, we analyzed the BP values in the office and ABPM, making the diagnosis based on the guidelines of the European Society of Hypertension.Results: From 46 ABPM, 43 valid exams were included. Of the 21 ABPM performed on users without antihypertensive therapy, we identified 90.5% of hypertension and 9.5% of normotensive individuals. In individuals with hypertension, the majority presented sustained hypertension (63.5%), 21.1% white coat hypertension and 15.7% masked hypertension. In users with antihypertensive therapy, it was found that about 68.2% uncontrolled hypertension. Of these 46.6% had uncontrolled white coat hypertension, 26.7% uncontrolled masked hypertension and 26.7% sustained uncontrolled hypertension.Discussion: Similar to other studies, the studied population had a significant prevalence of white coat and masked hypertension, in individuals with or without antihypertensive treatment. These data may influence clinical practice and demonstrate the added value of accessing ABPM in PC. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-10 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.58043/rphrc.3 https://doi.org/10.58043/rphrc.3 |
url |
https://doi.org/10.58043/rphrc.3 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistahipertensao.pt/index.php/rh/article/view/3 https://revistahipertensao.pt/index.php/rh/article/view/3/8 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
publisher.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular |
dc.source.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 87 (2022): Janeiro - Fevereiro; 8-13 1646-8287 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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