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[Hypertension in general practice in Switzerland].
Peter Tschudi1, Benedict Martina
1Institut für Hausarztmedizin IHAMB Universität Basel Universitätsspital, Petersgraben 4031 Basel. peter.tschudi@unibas.ch
Revue Medicale Suisse
|June 24, 2010
Summary
General practitioners (GPs) report good blood pressure control in hypertensive patients, with 94% receiving treatment. Ambulatory blood pressure monitoring aids diagnosis and prognosis for hypertension management.
Area of Science:
- General Practice
- Cardiology
- Epidemiology
Background:
- Arterial hypertension is a significant public health concern and a common condition in general practice.
- Reliable epidemiological and outcome data on hypertensive patients from primary care settings are limited.
- The Institute of General Practice Basel initiated the
Purpose of the Study:
- To report initial findings on blood pressure control and management strategies in hypertensive patients within a general practice cohort.
- To evaluate the utility of 24-hour ambulatory blood pressure measurement in diagnosing and managing hypertension in primary care.
Main Methods:
- A cohort of hypertensive patients was established, with Swiss general practitioners (GPs) collecting baseline and follow-up data.
- Data were collected via an internet-based questionnaire.
- 24-hour ambulatory blood pressure measurement was utilized for diagnosis and treatment monitoring.
Main Results:
- The study included 950 hypertensive patients.
- A high proportion of patients (94%) were receiving antihypertensive drug treatment.
- 24-hour blood pressure measurement proved valuable for baseline diagnosis and assessing treatment effectiveness, identifying patients with elevated office BP but normal ambulatory BP who had a good prognosis.
Conclusions:
- General practice data indicate effective blood pressure control in a significant majority of treated hypertensive patients.
- 24-hour ambulatory blood pressure monitoring is a valuable tool for accurate hypertension diagnosis and risk stratification in primary care settings.
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