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[Evaluation of coronary risk and its relationship to health actions in hypertensive patients]

Viviane Rassele Silva1, Maria Del Carmen Bisi Molina2, Nagela Valadão Cade2

  • 1Secretaria Municipal de Saúde, Prefeitura Municipal de Vitória, Vitória, ES, Brasil.

Revista Brasileira De Enfermagem
|December 18, 2014
PubMed

Insights

A study on hypertensive patients found that nearly half had high coronary risk. The number of prescribed medications was the only factor significantly linked to this high risk.

Area of Science:

  • Cardiology
  • Public Health
  • Hypertension Management

Background:

  • Hypertension is a major risk factor for acute coronary events.
  • Effective management of hypertension is crucial for cardiovascular health.
  • Assessing coronary risk in hypertensive patients is vital for preventive strategies.

Purpose of the Study:

  • To evaluate the coronary risk in hypertensive patients using Framingham criteria.
  • To examine the relationship between health actions and coronary risk in this population.
  • To identify factors associated with high coronary risk among hypertensive individuals.

Main Methods:

  • Observational, cross-sectional study involving 330 hypertensive patients.
  • Data collected from medical records, including coronary risk, blood pressure, visits, educational activities, and prescribed drugs.
  • Statistical analysis using ANOVA and paired t-test.

Main Results:

  • 34.8% had low coronary risk, 20.4% had average risk, and 44.8% had high risk.
  • A significant relationship was found between the amount of prescribed medications and high coronary risk.
  • No significant relationship was observed between visits, educational activities, and coronary risk.

Conclusions:

  • A substantial proportion of hypertensive patients in the study population face a high risk of coronary events.
  • Prescribed medication load is a key indicator associated with elevated coronary risk in hypertensive patients.
  • Further research into optimizing medication regimens and adherence is warranted for cardiovascular risk reduction.

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