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Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
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Blood pressure control of hypertensive patients followed in a high complexity clinic and associated variables

Juliana Chaves Coelho1, Mayra Cristina da Luz Pádua Guimarães1, Cassia Lima de Campos2

  • 1Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brasil.

Jornal Brasileiro De Nefrologia
|February 22, 2021
PubMed

Insights

Hypertension control remains a challenge, with only 51.1% of patients achieving target blood pressure. Factors like BMI, stroke history, and left ventricular hypertrophy influence control, highlighting the need for personalized treatment strategies for arterial hypertension.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Medicine

Background:

  • Arterial hypertension significantly contributes to cardiovascular mortality and morbidity.
  • Effective blood pressure control remains a persistent challenge in clinical practice.

Purpose of the Study:

  • To evaluate hypertension control rates in patients attending a specialized clinic.
  • To identify clinical and sociodemographic variables associated with blood pressure control.

Main Methods:

  • A cross-sectional study analyzed medical records of 782 patients with hypertension.
  • Blood pressure control defined as systolic <140 mmHg and diastolic <90 mmHg.
  • Bivariate and logistic regression analyses identified associated variables.

Main Results:

  • The prevalence of controlled hypertension was 51.1%.
  • Lack of control was associated with higher body mass index, left ventricular hypertrophy, and increased number of medications.
  • History of stroke was associated with better control.

Conclusions:

  • Approximately half of the patients achieved adequate blood pressure control.
  • Clinical variables and evidence of target organ damage are significantly associated with hypertension control.
  • Findings underscore the importance of comprehensive management strategies for hypertension.
Abstract

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