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End-Organ Damage in Hypertension: An Insight on a Differentiated Outpatient Consultation
Rui Flores1, Joana Lopes2, Sofia Caridade2
1Cardiology, Hospital de Braga, Braga, PRT.
Cureus
|October 16, 2023
Summary
A study found that nearly a quarter of hypertensive patients had end-organ damage, most commonly kidney disease. This highlights the ongoing need to manage arterial hypertension effectively to prevent severe complications.
Area of Science:
- Cardiology
- Nephrology
- Pulmonology
Background:
- Arterial hypertension is a major global health concern, contributing significantly to morbidity and mortality.
- Understanding the prevalence of end-organ damage is crucial for effective hypertension management.
Purpose of the Study:
- To determine the prevalence of end-organ damage in patients with hypertension attending outpatient consultations.
- To identify common causes of secondary arterial hypertension and the types of end-organ damage observed.
Main Methods:
- A cohort of 73 patients was recruited from a tertiary hospital outpatient clinic.
- Data collected included demographics, blood pressure, hypertension etiology, medication, and evidence of target organ damage.
- The study period was from July 2022 to March 2023.
Main Results:
- Nearly a quarter (23.2%) of hypertensive patients had end-organ damage, with kidney disease being the most prevalent (13.7%).
- Secondary arterial hypertension was present in 19.2% of patients, with obstructive sleep apnea being the most common cause.
- Angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists were the most frequently prescribed medications.
Conclusions:
- Arterial hypertension remains a critical factor in disease and death, underscoring the importance of recognizing its long-term effects.
- Continued vigilance and proactive management are necessary to mitigate the impact of hypertension-related end-organ damage.
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