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[Arterial hypertension and associated factors in patients submitted to myocardial revascularization]
Flávia Cortez Colósimo1, Alexandre Gonçalves de Sousa2, Gilmara Silveira da Silva3
1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Insights
A high prevalence of arterial hypertension (high blood pressure) was found in 82.8% of patients undergoing myocardial revascularization. Factors like age, female gender, obesity, diabetes, and dyslipidemia were associated with hypertension.
Area of Science:
- Cardiology
- Hypertension Research
- Epidemiology
Context:
- Coronary artery disease is a leading cause of mortality globally.
- Myocardial revascularization is a common intervention for severe coronary artery disease.
- Arterial hypertension is a significant risk factor for cardiovascular diseases.
Purpose:
- To determine the prevalence of arterial hypertension in patients undergoing myocardial revascularization.
- To identify factors associated with arterial hypertension in this patient population.
Summary:
- This cross-sectional study analyzed 3010 patients who underwent myocardial revascularization.
- A high prevalence of arterial hypertension (82.8%) was observed.
- Associated factors included age, female gender, brown-skin race, obesity, diabetes, dyslipidemia, and elevated creatinine levels.
Impact:
- Findings highlight the critical need for hypertension management in patients with coronary artery disease.
- Identified associated factors can inform targeted screening and prevention strategies.
- This research contributes to understanding cardiovascular disease comorbidities and improving patient outcomes.
Abstract:
OBJECTIVE To identify the prevalence of arterial hypertension and associated factors in patients submitted to myocardial revascularization. METHOD Cross-sectional study using the database of a hospital in São Paulo (SP, Brazil) containing 3010 patients with coronary artery disease submitted to myocardial revascularization. A multiple logistic regression was performed to identify variables independently associated with hypertension (statistical significance: p<0.05). RESULTS Prevalence of hypertension was 82.8%. After the variables were adjusted, the associated factors were as follows: age, odds ratio (OR): OR=1.01; 95% confidence interval (CI): CI:1.00-1.02; female gender: (OR=1.77;CI:1.39-2.25); brown-skin race: (OR=1.53;CI:1.07-2.19); obesity: (OR=1.53;CI:1.13-2.06); diabetes: (OR=1.90;CI:1.52-2.39); dyslipidemia: (OR=1.51;CI:1.23-1.85); and creatinine>1.3: (OR=1.37;CI:1.09-1.72). CONCLUSION A high prevalence of arterial hypertension and association with both non-modifiable and modifiable factors was observed.
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