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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
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15. Valvular Heart Disease
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19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
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ABPM for arterial hypertension's diagnosis - the experience of a primary care centre
Session:
Posters 1 - Écran 7 - Hipertensão Arterial
Speaker:
João Dias
Congress:
CPC 2019
Topic:
I. Hypertension
Theme:
27. Hypertension
Subtheme:
27.3 Hypertension – Diagnostic Methods
Session Type:
Posters
FP Number:
---
Authors:
João Dias; Maria Eduarda Lima
Abstract
<p><strong>Introduction:</strong> Stroke is the main mortality cause in Portugal. Hypertension (HTN) is mostly an asymptomatic and silent condition and increases the risk for this cardiovascular complication. Preventing and diagnosing HTN in a timely manner is vital to avoid morbimortality. Diagnosing HTN can be done by out-of-office BP measurements - ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring. In Portugal, ABPM is expensive, not reimbursed and not widely available.</p> <p><strong>Aim:</strong> To describe the patients in whom ABPM was performed and assess the number of new HTN diagnosis with the use of ABPM.</p> <p><strong>Methods:</strong> Descriptive, cross-sectional study. Data collection: December 2018, on all the ABPM exams performed at the authors’ centre from January 2017 until December 2018. Exams with less than 70% of usable measurements were excluded. Variables: sex, age, smoking status, previous HTN diagnosis, previous antihypertensive therapy, new HTN diagnosis, HTN control and circadian profile. Data confidentiality was ensured.</p> <p><strong>Results:</strong> A total of 126 exams were performed, 52% on female patients, with an average age of 61,93 years old (minimum 23, maximum 92, median 64,5). 23,81% were smokers and 57,14% (n=72) were not previously diagnosed with HTN. From the latter group, 20 (27,78%) were newly diagnosed with HTN. All the already hypertensive patients (n=54) were on antihypertensive therapy, mostly triple therapy (31,48%); 38,89% did not have their HTN controlled. Most patients had dipper profile (40,48%); around 16% manifested extreme or reverse dipping and 10% were non-dippers.</p> <p><strong>Discussion:</strong> The examined patients were mostly female, in average 62 years old and not previously diagnosed with HTN. The encountered average and median age is in line with the fact that HTN is more common with advancing age. Almost 24% were smokers, an important risk factor for HTN. The ABPM consult made possible the new diagnosis of 20 hypertensive patients, whom will need a specific follow-up from their physicians, now aware of a new clinical condition. In the already hypertensive patients, around 40% showed BP values on ABPM compatible with bad-controlled HTN, which in turn will also guide their physicians in their follow-up. Despite the dipping status is still a matter of debate in terms of clinical utility, the authors found that around 40% of patients were dippers and 26% were part of the groups linked to increased mortality - extreme, reverse and non-dippers. </p>
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