IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION
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.34 |
Resumo: | Introduction: Arterial hypertension is an important risk factor for cardiovascular events, such as acute myocardial infarction or stroke. Chronotherapy consists in using daily (circadian) or monthly hormonal rhythms to treat diseases, enhance the effects of medications and minimize iatrogenesis. It is, however, a poorly explored area, although there is evidence that chronotherapy might be useful in the treatment of hypertension. Primary objective: To evaluate the clinical interest of chronotherapy in the treatment of hypertension. Type of study: Multicentric, observational, cross-sectional and analytical. Research questions: Is the blood pressure pattern (dipper, non-dipper), assessed over 24 hours, conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Is blood pressure control conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Methodology: The information will be collected from patient’s clinical computerized process, namely the hypertension pattern (dipper or non-dipper), obtained by ABPM.Patients who do not have a characterization of their hypertension pattern by ABPM, will be asked to do so, in order to fulfill the conditions to integrate the study. Patients will be divided into two study groups, each with 200 patients, that is, 400 patients in total. In group A there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the afternoon and in group B, there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the morning. Results: It will be used a quantitative method. The p value defined for considering a statistically significant result will be p <0.05. Conclusion: The circadian rhythm of blood pressure is particularly relevant in medicine; however, it remains a concept often ignored. Thus, it becomes necessary to raise awareness of its importance in clinical practice, in order to better understand the mechanisms of the disease, and to be able to provide more effective and advantageous forms of treatment for patients, being that the greatest purpose of this research protocol. |
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IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATIONIMPACTO DA CRONOTERAPIA NO TRATAMENTO DA HIPERTENSÃO ARTERIAL: “UM PROTOCOLO DE INVESTIGAÇÃO NA TENTATIVA DO SEU ESCLARECIMENTO“Introduction: Arterial hypertension is an important risk factor for cardiovascular events, such as acute myocardial infarction or stroke. Chronotherapy consists in using daily (circadian) or monthly hormonal rhythms to treat diseases, enhance the effects of medications and minimize iatrogenesis. It is, however, a poorly explored area, although there is evidence that chronotherapy might be useful in the treatment of hypertension. Primary objective: To evaluate the clinical interest of chronotherapy in the treatment of hypertension. Type of study: Multicentric, observational, cross-sectional and analytical. Research questions: Is the blood pressure pattern (dipper, non-dipper), assessed over 24 hours, conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Is blood pressure control conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Methodology: The information will be collected from patient’s clinical computerized process, namely the hypertension pattern (dipper or non-dipper), obtained by ABPM.Patients who do not have a characterization of their hypertension pattern by ABPM, will be asked to do so, in order to fulfill the conditions to integrate the study. Patients will be divided into two study groups, each with 200 patients, that is, 400 patients in total. In group A there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the afternoon and in group B, there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the morning. Results: It will be used a quantitative method. The p value defined for considering a statistically significant result will be p <0.05. Conclusion: The circadian rhythm of blood pressure is particularly relevant in medicine; however, it remains a concept often ignored. Thus, it becomes necessary to raise awareness of its importance in clinical practice, in order to better understand the mechanisms of the disease, and to be able to provide more effective and advantageous forms of treatment for patients, being that the greatest purpose of this research protocol.Introdução: A hipertensão arterial (HTA) constitui um importante fator de risco para eventos cardiovasculares (CV), tais como enfarte agudo do miocárdio ou acidente vascular cerebral. A cronoterapia consiste na utilização dos ritmos hormonais, diários (ritmo circadiano) ou mensais, do organismo para tratar doenças, potencializar efeitos de medicações e minimizar iatrogenia. É, no entanto, uma área pouco explorada, embora exista evidência de que a cronoterapia apresenta utilidade no tratamento da HTA. Objetivo primário: Avaliar o interesse clínico que a cronoterapia apresenta no tratamento da HTA. Tipo de estudo: Multicêntrico, observacional, transversal e analítico Questões de investigação: O padrão de pressão arterial (dipper, não-dipper), avaliado ao longo de 24 horas, é condicionado pelo horário de administração dos anti hipertensores (vespertino vs. matutino)? O controlo tensional é condicionado pelo horário de administração dos fármacos anti hipertensores (vespertino vs. matutino)? Metodologia: Recorrer-se-á à consulta do processo clínico informático dos doentes, nomeadamente à documentação através de MAPA do padrão de HTA em dipper ou não-dipper. Aos doentes que não possuem caracterização do seu padrão de HTA por MAPA, o mesmo será solicitado, a fim de cumprirem condições para integrar o estudo.Os doentes serão divididos em dois grupos de estudo, cada um deles com 200 doentes, ou seja, 400 doentes no total. No grupo A estarão os doentes que cumprem plano terapêutico com medicação anti hipertensora em horário vespertino e no grupo B, estarão os doentes que cumprem plano terapêutico com medicação anti hipertensora em horário matutino. Resultados: Utilizar-se-á o método quantitativo. O valor de p definido para se considerar um resultado estatisticamente significativo será de p < 0.05. Conclusão: O ritmo circadiano da pressão arterial é particularmente relevante para a medicina, contudo, continua a ser um conceito frequentemente ignorado. Desta forma, torna-se necessário a consciencialização da sua importância na prática clínica, para melhor se compreender os mecanismos da doença e poder proporcionar formas de tratamento mais eficazes e vantajosos para os doentes, sendo esse o grande fundamento deste protocolo de investigação.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-06-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.34https://doi.org/10.58043/rphrc.34Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 82 (2021): Março / Abril; 10-151646-8287reponame: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/34https://revistahipertensao.pt/index.php/rh/article/view/34/35Assunção, AntónioCampos, DinaMatos, CésarRebelo, AnaLopes Vaz, Pedroinfo:eu-repo/semantics/openAccess2024-02-03T07:36:34Zoai:ojs.revistahipertensao.pt:article/34Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:08.359474Repositório 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 |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION IMPACTO DA CRONOTERAPIA NO TRATAMENTO DA HIPERTENSÃO ARTERIAL: “UM PROTOCOLO DE INVESTIGAÇÃO NA TENTATIVA DO SEU ESCLARECIMENTO“ |
title |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
spellingShingle |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION Assunção, António |
title_short |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
title_full |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
title_fullStr |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
title_full_unstemmed |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
title_sort |
IMPACT OF CHRONOTHERAPY ON HYPERTENSION MANGEMENT: INVESTIGATION PROTOCOL IN ATTEMPTING OF CLARIFICATION |
author |
Assunção, António |
author_facet |
Assunção, António Campos, Dina Matos, César Rebelo, Ana Lopes Vaz, Pedro |
author_role |
author |
author2 |
Campos, Dina Matos, César Rebelo, Ana Lopes Vaz, Pedro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Assunção, António Campos, Dina Matos, César Rebelo, Ana Lopes Vaz, Pedro |
description |
Introduction: Arterial hypertension is an important risk factor for cardiovascular events, such as acute myocardial infarction or stroke. Chronotherapy consists in using daily (circadian) or monthly hormonal rhythms to treat diseases, enhance the effects of medications and minimize iatrogenesis. It is, however, a poorly explored area, although there is evidence that chronotherapy might be useful in the treatment of hypertension. Primary objective: To evaluate the clinical interest of chronotherapy in the treatment of hypertension. Type of study: Multicentric, observational, cross-sectional and analytical. Research questions: Is the blood pressure pattern (dipper, non-dipper), assessed over 24 hours, conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Is blood pressure control conditioned by the time of administration of antihypertensive drugs (evening vs. morning)? Methodology: The information will be collected from patient’s clinical computerized process, namely the hypertension pattern (dipper or non-dipper), obtained by ABPM.Patients who do not have a characterization of their hypertension pattern by ABPM, will be asked to do so, in order to fulfill the conditions to integrate the study. Patients will be divided into two study groups, each with 200 patients, that is, 400 patients in total. In group A there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the afternoon and in group B, there will be patients who follow a therapeutic plan with anti-hypertensive medication administered in the morning. Results: It will be used a quantitative method. The p value defined for considering a statistically significant result will be p <0.05. Conclusion: The circadian rhythm of blood pressure is particularly relevant in medicine; however, it remains a concept often ignored. Thus, it becomes necessary to raise awareness of its importance in clinical practice, in order to better understand the mechanisms of the disease, and to be able to provide more effective and advantageous forms of treatment for patients, being that the greatest purpose of this research protocol. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-04 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://doi.org/10.58043/rphrc.34 https://doi.org/10.58043/rphrc.34 |
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https://doi.org/10.58043/rphrc.34 |
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por |
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https://revistahipertensao.pt/index.php/rh/article/view/34 https://revistahipertensao.pt/index.php/rh/article/view/34/35 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Revista Portuguesa de Hipertensão e Risco Cardiovascular |
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Revista Portuguesa de Hipertensão e Risco Cardiovascular |
dc.source.none.fl_str_mv |
Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 82 (2021): Março / Abril; 10-15 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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