HIPERTENSÃO ARTERIAL EM OURO PRETO (MG): AVALIAÇÃO DA TERAPÊUTICA FARMACOLÓGICA E DE FATORES DE RISCO CARDIOVASCULARES.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Hypertension is one of the main risk factors for cardiovascular diseases and may occur associated with other risk factors that are independently associated with cardiovascular diseases such as social-demographic, behavior and clinical factors. Measures of non-pharmacological and pharmacological therapeutics to treat hypertension are available, despite poor blood pressure control in hypertensive subjects. present study was conducted using an aleatory sample in a transversal study in order to assess hypertensive subjects from Ouro Preto city, Minas Gerais, evaluating pharmacological therapy and risk factors for cardiovascular diseases. The prevalence of hypertension was 48,4 %, considering hypertensive those subjects who had systolic blood pressure higher or equal to 140 mmHg and/or diastolic blood pressure higher or equal to 90 mmHg, and subjects with controlled systolic and diastolic blood pressure, using some antihypertensive medication. The highest percentual of hypertensive patients was included in the lower level stage of hypertension (43,3 %), followed by moderate level stage (27,3 %) and higher level stage (19,8 %). The pharmacological treatment with antihypertensive were used for 47,1 % of hypertensive patients, but only % presented blood pressure control and 52,9 % did not received any antihypertensive drug. Diuretic were the most used antihypertensive class (71,2 %) and hydrochlorothiazide was the most used drug. The association of two antihypertensive drugs was second used antihypertensive therapy and the diuretic associated with and/or -blockers the most used and, among these, the associated hydrochlorothiazide to propranolol was the most frequent. Hypertension was more prevalent among male, among subjects between 40 and 59 years old, among subjects declared to have not white skin, among subjects in lower educational graduation level and among lower economic classes. Smoking and drinking habits were more prevalent among hypertensive subjects without treatment for arterial hypertension. Most hypertensive subjects were categorized the physical inactivity group. The hyperglycemia showed a prevalence of 23,8 % among hypertensive subjects and the dyslipidemia 53,4 %, and both of them more prevalent among hypertensive subjects that used antihypertensive drugs to control blood pressure. The use of diuretics showed a significant association with dyslipidemia.Hypertension was more prevalent among subjects with overweight (39,2 %) and among subjects with abdominal obesity (43,3 %), and the last had this higher percentual of not lacking obtained of blood pressure control with pharmacological treatment. A higher hypertensive percentual was observed among woman who did not use contraceptives and hormone replacement therapy drugs.

ASSUNTO(S)

hipertensão arterial, tratamento, anti-hipertensivos, fatores de risco cardiovasculares. ciencias biologicas arterial hypertension, treatment, antihypertensive, cardiovascular risk factors.

ACESSO AO ARTIGO

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