Servicio profesional de monitorización ambulatoria de la presión arterial (MAPA) en farmacia comunitaria. Identificación de hipertensión no controlada de bata blanca
- Benigna Villasuso Cores
- Óscar Penín Álvarez
- José Carlos Rojo Fernández
- Nuria Pico Feal
- Luis Brizuela Mateo
- Montserrat Lage Piñón
ISSN: 1885-8619
Ano de publicación: 2021
Volume: 13
Número: 3
Páxinas: 38-40
Tipo: Artigo
Outras publicacións en: Farmacéuticos comunitarios
Resumo
68-year-old man diagnosed with hypertension 6 months ago. We have included it in our professional pharmaceutical care service for measurement and control of blood pressure, obtaining values within normality. The patient has scheduled a surgical intervention in the ophthalmology service that could not be performed due to successive high blood pressure values (≥180 / 100 mmHg) in a primary and specialized medical consultation. He refers to getting “very nervous” when going to the doctor. We suspect that elevated office BP values are compatible with a “white coat effect” (WCE). We agreed with him and his primary care physician to perform ambulatory blood pressure monitoring (ABPM) in order to rule out EBB. Once the results have been obtained, identify the patient’s phenotype and observe that the ABPM BP values are within normality, an ophthalmology consultation is performed. In view of them, the ophthalmologist decides to perform the operation, which is carried out successfully