在特立尼达,使用HEARTS in the Americas协议进行高血压控制:一个横截面研究
Zahra Mendoza1, Raveed Khan2, Rohan G Maharaj2
1North-Central Regional Health Authority Champs Fleurs Trinidad and Tobago North-Central Regional Health Authority, Champs Fleurs, Trinidad and Tobago.
概括
在特立尼达,超过一半的高血压患者使用HEARTS in the Americas协议实现了最佳的血压控制. 更高的收入与更好的高血压控制有关,而超重与更差的结果有关.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 高血压管理 高血压管理
背景情况:
- 高血压仍然是一个重大的全球健康挑战.
- 有效的治疗方案对于控制血压至关重要.
- 美国的 HEARTS 倡议旨在规范高血压护理.
研究的目的:
- 评估特立尼达北部中部地区成年患者中高血压控制的患病率.
- 在这个人群中识别与高血压控制相关的风险因素.
- 在当地环境中评估HEARTS在美洲协议的有效性.
主要方法:
- 对287名成人高血压患者进行了横截面调查.
- 数据收集包括人体测量,血压读数和生活方式因素评估.
- 面试官管理的问卷采集了有关酒精使用,吸烟,体力活动,营养和治疗坚持的信息.
主要成果:
- 52.3%的患者实现了最佳的血压控制 (心压<140 mmHg,心压<90 mmHg).
- 更高的月收入 (>TTD10,000) 与更好的血压控制 (aOR3.536) 有关.
- 超重与实现最佳血压控制的可能性较低有关 (aOR 0.459).
结论:
- 在北中部的特立尼达,HEARTS in the Americas协议取得了成功,超过一半的患者实现了最佳的血压控制.
- 这项研究强调了当地报告的最高高血压控制率.
- 未来的干预措施应优先加强患者的坚持和持续监测,以维持和改善高血压管理结果.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
442
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
442
Hypertension IV: Drug Therapy and Lifestyle Modifications
575
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
575
Hypertension II: Pathophysiology
704
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
704
Hypertension I: Introduction
668
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
668
Hypertension and Regulation of Blood Pressure
3.6K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.6K
Hypertension V: Nursing Management
336
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
336


