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The pharmacological therapy of arterial hypertension in special ambulances and general practitioners
Mlčochová, Michaela ; Tilšer, Ivan (advisor) ; Mladěnka, Přemysl (referee)
~ 3 ~ ABSTRACT Topic: Pharmacological treatment of arterial hypertension in specialist ambulance and at general practitioners Made by: Mgr. Michaela Mlčochová OBJECTIVE: The aim of the study is to evaluate and to compare pharmacological treatment of hypertension, effect of pharmacological interventions and risk profile of hypertensive patients in the cardiology ambulance of 1st Department of Medicine, University Hospital in Hradec Králové and in surgeries of general practitioners. METHOD: Only diagnosed, drug-treated hypertensive patients were incuded, fifty patients in each group. We compared medication, achieved blood pressure and risk profile. RESULTS: 78% of patients in the cardiology ambulance and 54% of patients at general practitioners achieved recommended blood pressure levels (BP < 140/90 mmHg). Combined therapy was used in the same rate in the both groups (78%). The most often prescribed medication were beta-blockers in cardiology ambulance and ACE inhibitors and diuretics at general practitioners. Complications of hypertension were more often in the cardiology ambulance (90% vs. 46%), respectively the risk factors were more often in the patients treated by general practitioners (86% vs. 62%). CONCLUSION: The therapy of arterial hypertension was more successful in the cardiology ambulance. But...
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Treatment of arterial hypertension
Mlčochová, Michaela ; Tilšer, Ivan (advisor) ; Mladěnka, Přemysl (referee)
Topic: Therapy of arterial hypertension Author: Michaela Mlčochová Arterial hypertension is one of the most common diseases of cardiovascular system. Long-lasting high blood pressure is associated with development of organ damage and adverse prognosis. Accurate diagnosis and precision treatment decrease markedly the risk of hypertensive and atherosclerotic complications such as coronary heart disease, cerebrovascular events, heart failure and end-stage renal disease. Most of the hypertensive patients require pharmacological treatment to attain recommended levels of blood pressure. Lifestyle modification shoud be a part of the treatment of all hypertensive patients. Present pharmacotherapy offers a range of drug classes (ACE inhibitors, calcium channel blockers, diuretics, ARBs, beta-blockers), which demonstrated favourable influence on cardiovascular morbidity and mortality. They are suitable for montherapy as well as combination therapy. Recently, the combination therapy is emphasizes because of great number of hypertensive patients have an inadequate blood pressure control.
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Treatment of arterial hypertension
Mlčochová, Michaela ; Tilšer, Ivan (advisor) ; Mladěnka, Přemysl (referee)
Topic: Therapy of arterial hypertension Author: Michaela Mlčochová Arterial hypertension is one of the most common diseases of cardiovascular system. Long-lasting high blood pressure is associated with development of organ damage and adverse prognosis. Accurate diagnosis and precision treatment decrease markedly the risk of hypertensive and atherosclerotic complications such as coronary heart disease, cerebrovascular events, heart failure and end-stage renal disease. Most of the hypertensive patients require pharmacological treatment to attain recommended levels of blood pressure. Lifestyle modification shoud be a part of the treatment of all hypertensive patients. Present pharmacotherapy offers a range of drug classes (ACE inhibitors, calcium channel blockers, diuretics, ARBs, beta-blockers), which demonstrated favourable influence on cardiovascular morbidity and mortality. They are suitable for montherapy as well as combination therapy. Recently, the combination therapy is emphasizes because of great number of hypertensive patients have an inadequate blood pressure control.
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The pharmacological therapy of arterial hypertension in special ambulances and general practitioners
Mlčochová, Michaela ; Mladěnka, Přemysl (referee) ; Tilšer, Ivan (advisor)
~ 3 ~ ABSTRACT Topic: Pharmacological treatment of arterial hypertension in specialist ambulance and at general practitioners Made by: Mgr. Michaela Mlčochová OBJECTIVE: The aim of the study is to evaluate and to compare pharmacological treatment of hypertension, effect of pharmacological interventions and risk profile of hypertensive patients in the cardiology ambulance of 1st Department of Medicine, University Hospital in Hradec Králové and in surgeries of general practitioners. METHOD: Only diagnosed, drug-treated hypertensive patients were incuded, fifty patients in each group. We compared medication, achieved blood pressure and risk profile. RESULTS: 78% of patients in the cardiology ambulance and 54% of patients at general practitioners achieved recommended blood pressure levels (BP < 140/90 mmHg). Combined therapy was used in the same rate in the both groups (78%). The most often prescribed medication were beta-blockers in cardiology ambulance and ACE inhibitors and diuretics at general practitioners. Complications of hypertension were more often in the cardiology ambulance (90% vs. 46%), respectively the risk factors were more often in the patients treated by general practitioners (86% vs. 62%). CONCLUSION: The therapy of arterial hypertension was more successful in the cardiology ambulance. But...
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