Prevalence of hypotension in hypertensive treated patients within the Primary Care setting. The PRESCAP 2010 study

  1. J.A. Divisón-Garrote 5
  2. M.Á. Prieto-Díaz 1
  3. F.J. Alonso-Moreno 2
  4. S.M. Velilla-Zancada 3
  5. C. Escobar-Cervantes 4
  6. J.L. Llisterri-Caro 6
  7. S. Cinza-Sanjurjo 7
  8. G.C. Rodríguez-Roca 8
  9. J. Polo-García 9
  10. V. Pallarés-Carratalá 10
  1. 1 Centro de Salud Vallobín-La Florida, Oviedo, Spain
  2. 2 Centro de Salud Sillería, Toledo, España
  3. 3 Centro de Salud de Nájera, La Rioja, España
  4. 4 Hospital Universitario La Paz, Madrid, España
  5. 5 Centro de Salud Casas Ibañez, Albacete, Spain
  6. 6 Centro de Salud Ingeniero Joaquín Benlloch, Valencia, España
  7. 7 Centro de Salud Porto do Son, A Coruña, España
  8. 8 Centro de Salud Puebla de Montalbán, Toledo, España
  9. 9 Centro de Salud Centro de Salud Casar de Cáceres, Cáceres, España
  10. 10 Universitat Jaume I, Castellón, España
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Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Ano de publicación: 2020

Número: 2

Páxinas: 107-114

Tipo: Artigo

DOI: 10.1016/J.SEMERG.2019.07.003 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Semergen: revista española de medicina de familia

Resumo

Objetivo Determinar la prevalencia de hipotensión y los factores asociados en pacientes hipertensos tratados en atención primaria. Material y métodos Estudio transversal, descriptivo y multicéntrico; 2.635 médicos generales incluyeron consecutivamente a 12.961 pacientes hipertensos tratados y atendidos en atención primaria en España. Fueron analizados: edad, sexo, peso, altura, índice de masa corporal, perímetro de cintura, factores de riesgo cardiovascular (diabetes, dislipidemia, tabaquismo, obesidad, sedentarismo), glucemia en ayunas, perfil de lípidos, así como la presencia de daño en órgano diana (hipertrofia ventricular, microalbuminuria, aterosclerosis carotídea) y enfermedades clínicas asociadas. La hipotensión se definió como presión arterial sistólica inferior a 110 mmHg o presión arterial diastólica inferior a 70 mmHg. Se realizó un análisis multivariante para determinar las variables asociadas a la presencia de hipotensión. Resultados La edad media fue de 66,2 años, un 51,7% de los pacientes eran mujeres. La antigüedad de la hipertensión fue de 9,1 años. Un 13,1% de los pacientes (intervalo de confianza del 95%: 12,4-13,6%) tenían hipotensión, de los cuales el 95% era presión arterial diastólica baja. La prevalencia de hipotensión fue mayor en pacientes de edad avanzada (25,7%) y en individuos con enfermedad coronaria (22,6%). Las variables asociadas con la presencia de hipotensión incluyeron los antecedentes de enfermedad cardiovascular, pacientes tratados con al menos 3 fármacos antihipertensivos, diabetes y edad. Conclusiones Uno de cada 4-5 pacientes de edad avanzada o con enfermedad cardiovascular tenía hipotensión. Los médicos generales deben identificar a estos pacientes para determinar las causas y ajustar el tratamiento para evitar complicaciones.

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Fonte de datos: Dialnet