Presión arterial en adultos jóvenes en Iowa
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Ver abstracta en PubMed
Resumen
Este resumen es generado por máquina.Los adultos jóvenes con presión arterial alta (PAH) con frecuencia no son diagnosticados con hipertensión (HTN). Solo el 17,4% de los adultos jóvenes elegibles recibieron un diagnóstico de HTN, lo que pone de relieve una brecha crítica en la detección temprana y la prevención de eventos cardiovasculares.
Área De La Ciencia
- Cardiología
- Salud pública
- Epidemiología
Sus Antecedentes
- La hipertensión (HTN) es prevalente en adultos jóvenes, pero a menudo no se diagnostica.
- La detección temprana y el tratamiento de HTN son vitales para prevenir complicaciones cardiovasculares.
- Los adultos jóvenes presentan menores tasas de conocimiento y diagnóstico de HTN en comparación con las poblaciones mayores.
Objetivo Del Estudio
- Para identificar a los adultos jóvenes (18-40) en Iowa con presión arterial alta (HBP).
- Determinar el porcentaje de estos adultos jóvenes diagnosticados con HTN en un plazo de dos años.
- Identificar los factores de riesgo asociados con el diagnóstico retrasado de HTN en este grupo demográfico.
Principales Métodos
- Estudio observacional retrospectivo que analiza los registros electrónicos de salud de 2016 a 2022.
- Criterios de inclusión: adultos de 18 a 40 años con al menos tres lecturas de presión arterial elevada (≥ 140/ 90 mmHg).
- Seguimiento durante dos años para determinar el diagnóstico de HTN; regresión de Cox utilizada para el análisis del tiempo hasta el diagnóstico.
Principales Resultados
- De los 22.299 adultos con HBP, 7.523 (33,7%) eran adultos jóvenes (18-40 años).
- Solo el 17,4% de los adultos jóvenes con HBP recibieron un diagnóstico de HTN dentro de los dos años.
- Los adultos jóvenes experimentaron un tiempo más largo para el diagnóstico en comparación con las personas mayores; los factores de riesgo específicos como el sexo masculino, la etnia minoritaria y las comorbilidades acortaron este tiempo.
Conclusiones
- Una proporción significativa de adultos jóvenes con HBP permanece sin diagnosticar, lo que representa un riesgo de eventos cardiovasculares futuros.
- La baja tasa de diagnóstico subraya la necesidad de mejorar los protocolos de detección y las intervenciones específicas para los adultos jóvenes.
- Abordar el subdiagnóstico relacionado con la edad es crucial para mitigar las consecuencias a largo plazo de la hipertensión no tratada.
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