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[The treatment of arterial hypertension. An inquiry among doctors in general practice]

U Wenzel1, T Röben, G Schwietzer

  • 1Abteilung für Nephrologie/Osteologie, Klinik und Poliklinik für Innere Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg. wenzel@uke.uni-hamburg.de

Deutsche Medizinische Wochenschrift (1946)
|December 26, 2001
PubMed

Insights

General practitioners and internists generally follow hypertension treatment guidelines. However, further education is needed on defining normal blood pressure and managing related conditions like diabetes and heart disease.

Area of Science:

  • Cardiology
  • General Practice
  • Pharmacology

Background:

  • Numerous antihypertensive medications are available.
  • National and international guidelines exist for hypertension management.
  • Current practices of general practitioners in hypertension treatment are not well-documented.

Purpose of the Study:

  • To investigate the current management of hypertension by general practitioners and internists.
  • To compare treatment approaches with established national and international recommendations.

Main Methods:

  • A questionnaire survey was distributed to 1540 internists, general practitioners, and practical doctors in Hamburg.
  • A response rate of 30% (458 replies) was achieved.

Main Results:

  • Treatment initiation thresholds varied, with 38% opting for >140/90 mmHg, 53% for >160/95 mmHg, and 10% for >180/100 mmHg.
  • Angiotensin-converting enzyme (ACE) inhibitors were the most frequently used antihypertensives (98%), followed by beta-blockers (86%).
  • Doctors prioritized blood pressure reduction (95%), few side effects (83%), and evidence-based morbidity/mortality reduction (44%) when selecting drugs.

Conclusions:

  • Practitioners largely adhere to official hypertension treatment guidelines.
  • Educational needs exist regarding the definition of normotensive values.
  • Improvements in managing comorbidities such as diabetes, coronary heart disease, and renal disease are recommended.
Abstract

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