Control de la hipertensión arterial basado en la automedición ambulatoria de la presión arterial: Estudio APACHE

Josep Redon, Francisco Miranda, José María Mjralles, Francisco Molina, Luis Molina, Luis Felix Molina, Juan Moll, José Momplet, Fernando Monereo, Rogelio Roger Monfort, Miquel Monraba, Juan Nino Monta, Alfonso Montaña, Rafael Montes, Daniel Antonio Monzón, Cristina Mora, Joaquín Mora, Francisco Mora, Fernando Morales, Isabel MoralesRafael Morán, Andrés Moreno, Joaquin Moreno, Juan Carlos Moreno, Pilar Moreno, José Moreno, Clausio Moreno, Juan Moreno, Nieves Moreno, Carles Moreno, Esther Moreno, María Jesús Moro, Tomás Moron, Juan Motero, Francisco Motilva, Eva Mozota, Vicente Mungía, Juan Manuel Muñoz, Francisco Muñoz, Francisca Muñoz, Juan Gabriel Muñoz, Antonio Muriel, Elena Navarro, Antonio Navarro, Margarita Navarro, Cosme Naveda, Miguel Negrillo, Jesús Nieto, María Teresa Nieto, Francisco José Nino, Jesús Nobajas, Susana Núñez, Ángel Luis Ochoa, Jaume Ochoavía, Juan Manuel Ojea, Rafael Olariz, Jordi Oller, Javier Orte, Antonio Ortega, Joan Isidro Ortege, Alfredo Ortiz, Rafael Ortiz, Mariá José Ortuño, Trinitario Ortuño, Ignacio Osuna, Dolores Pacheco, Ginés Palazón, Francisco Palencia, Luis Andrés Palezuela, Vicente Pallares, Carlos Pallares, Juan Carlos Palma, Miguel Ángel Palos, Manuel Pampols, Javier Panadero, María Parer, Vicente Parga, Luis Antonio Pascual, María Luisa Pascual, José María Pazos, Joaquín Pechuán, Benjamín Peco, Víctor Pedrera, Vicens Pedroka, Vicente Penades, Ramón Penedo, Montserrat Peraferrer, Manel Peraire, Javier Pereira, César Perera, Andrés Pérez, José Antonio Pérez, Juan José Pérez, María Eva Pérez, Nuria Pérez, Ana María Pérez, Lorenzo Pérez, Julio Pérez, Juan Pérez

Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

3 Citas (Scopus)

Resumen

Background and objective: The objective was to analyze the control rates of hypertension in a large group of hypertensives on antihypertensive treatment by means of blood pressure (BP) self-measurements, and to assess if the degree of control at early morning hours differs from that at the rest of the day. Patients and method: 9,227 subjects [4,398 men, mean age 61.0 (11.4) yr, body mass index 28.4 (4.1) kg/m2] who had hypertension and were on antihypertensive treatment at least during one month before were included. Patients were recruited from primary care physicians. After receiving training, six BP measurements over one day were performed by means of a Braun Precision Sensor BP 2550 monitor, which measures BP at wrist level. Results: Whole day SBP and DBP averages were 138.4 (16.5) mmHg and 85.4 (8.7) mmHg, respectively. Both SBP and DBP in early morning hours were significantly higher than those observed before lunch or before dinner. The percentage of subjects with BP < 130/80 mmHg was 15.5%; 15.4% had SBP < 130 mmHg but DBP > 80 mmHg, and 2.0% had DBP < 80 mmHg and SBP > 130 mmHg). Control rates were lower at early morning hours and in men. Conclusions: By using BP self-measurement, control rates of hypertension are low, especially in early morning hours as compared to the rest of the day. New strategies are needed to further increase the control of hypertension.

Título traducido de la contribuciónControl of arterial hypertension based on self-measurement of blood pressure: APACHE study
Idioma originalEspañol
Páginas (desde-hasta)728-733
Número de páginas6
PublicaciónMedicina Clinica
Volumen120
N.º19
DOI
EstadoPublicada - 24 may. 2003
Publicado de forma externa

Palabras clave

  • BP early morning rise
  • BP self-measurement
  • Control rates
  • Hypertension

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