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Analysis of causes of hospitalizations and type of hypotensive therapy in patients with essential hypertension
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Abstract
Material and methods There were 1395 patients hospitalized in the cardiology unit in 2007, including 61% of patients with hypertension. Only 90 patients (7%, 70% of females, age range 18–79 years) were admitted to the hospital with the diagnosis of hypertension. At admission in 58% blood pressure values exceeded 180/110 mm Hg. In none of the patients target blood pressure values were found. The most common comorbid conditions were: coronary artery disease in 42,2%, peripheral artery disease in 20%, dyslipidemia in 50%, abnormal glucose metabolism in 33%, cerebrovascular events in 13%, chronic kidney disease in 28%, obesity in 50%. Up to 80% of cases were admitted to the hospital as urgent.
Results Half of the patients were sent to the hospital by family physicians, 22% by cardiologists, 15% by an ambulance service. During hospitalization over the half of the patients were treated with more than 3 hypotensive drugs, including angiotensin converting enzyme inhibitors (87.7%), diuretics (85.5%), b-blockers (82.2%) and calcium channel blockers (75.5%). Moreover, 83.3% were given acetylsalicylic acic, 57.7% were given statins, and 47.7% were administered potassium supplements. At discharge, 89% had blood pressure values below 140/90, including 32% with blood pressure values below 120/80 mm Hg.
Conclusions Concluding, despite high prevalence of hypertension, blood pressure control is still insufficient. Comorbidities are common in hypertensive patients and they are not adequately treated. Taking all these facts into consideration there is a strong rationale for establishment of hypertension outpatient unit at the hospital with dedicated medical staff.
Abstract
Material and methods There were 1395 patients hospitalized in the cardiology unit in 2007, including 61% of patients with hypertension. Only 90 patients (7%, 70% of females, age range 18–79 years) were admitted to the hospital with the diagnosis of hypertension. At admission in 58% blood pressure values exceeded 180/110 mm Hg. In none of the patients target blood pressure values were found. The most common comorbid conditions were: coronary artery disease in 42,2%, peripheral artery disease in 20%, dyslipidemia in 50%, abnormal glucose metabolism in 33%, cerebrovascular events in 13%, chronic kidney disease in 28%, obesity in 50%. Up to 80% of cases were admitted to the hospital as urgent.
Results Half of the patients were sent to the hospital by family physicians, 22% by cardiologists, 15% by an ambulance service. During hospitalization over the half of the patients were treated with more than 3 hypotensive drugs, including angiotensin converting enzyme inhibitors (87.7%), diuretics (85.5%), b-blockers (82.2%) and calcium channel blockers (75.5%). Moreover, 83.3% were given acetylsalicylic acic, 57.7% were given statins, and 47.7% were administered potassium supplements. At discharge, 89% had blood pressure values below 140/90, including 32% with blood pressure values below 120/80 mm Hg.
Conclusions Concluding, despite high prevalence of hypertension, blood pressure control is still insufficient. Comorbidities are common in hypertensive patients and they are not adequately treated. Taking all these facts into consideration there is a strong rationale for establishment of hypertension outpatient unit at the hospital with dedicated medical staff.
Keywords
essential hypertension; hypotensive drugs; complications; hospitalization
Title
Analysis of causes of hospitalizations and type of hypotensive therapy in patients with essential hypertension
Journal
Issue
Article type
Original paper
Pages
11-21
Published online
2008-12-12
Page views
1493
Article views/downloads
6031
Bibliographic record
Nadciśnienie tętnicze 2009;13(1):11-21.
Keywords
essential hypertension
hypotensive drugs
complications
hospitalization
Authors
Hanna Bachórzewska-Gajewska
Katarzyna Łagoda
Anna Myszkowska
Joanna Bakun
Grażyna Kobus
Jolanta Małysz