Serviço de Cardiologia, Disciplina de Geriatria e Gerontologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP - Brasil.
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.
Arq Bras Cardiol. 2023 Jul;120(8):e20220863. doi: 10.36660/abc.20220863.
It is known that around 30% of patients have higher blood pressure (BP) values when examined at the office than at home. Worldwide, only 35% of patients with hypertension undergoing treatment have reached their BP targets.
To provide epidemiological data on BP control in the offices of a sample of Brazilian cardiologists, considering office and home BP measurement.
This is a cross-sectional analysis of patients with a hypertension diagnosis and undergoing antihypertensive treatment, with controlled BP or not. BP was assayed in the office by a medical professional and at home using home BP monitoring (HBPM). The association between categorical variables was verified using the chi-square test (p<0.05).
The study included 2540 patients, with a mean age of 59.7 ± 15.2 years. Most patients were women (62%; n=1575). Prevalence rates of 15% (n=382) for uncontrolled white coat hypertension and 10% (n=253) for uncontrolled masked hypertension were observed. The rate of BP control in the office was 56.3% and at home, 61%. Meanwhile, 46.4% of the patients had controlled BP in and outside of the office. Greater control was observed in women and in the 49-61 years age group. Considering the new DBHA 2020 threshold for home BP control, the control rate was 42.4%.
BP control in the offices of a sample of Brazilian cardiologists was 56.3%; this rate was 61% when BP was measured at home and 46.4% when considering both the office and home.
已知约 30%的患者在诊室测量的血压（BP）值高于在家测量的值。在全球范围内，仅有 35%接受治疗的高血压患者达到了他们的 BP 目标。
提供巴西心脏病学家诊室中血压控制的流行病学数据，同时考虑诊室和家庭血压测量。
这是一项横断面分析，纳入了诊断为高血压且正在接受降压治疗的患者，无论其血压是否得到控制。BP 由医疗专业人员在诊室测量，在家使用家庭血压监测（HBPM）测量。使用卡方检验（p<0.05）来验证分类变量之间的关联。
研究纳入了 2540 名患者，平均年龄为 59.7 ± 15.2 岁。大多数患者为女性（62%，n=1575）。观察到未控制的白大衣高血压的患病率为 15%（n=382），未控制的隐匿性高血压的患病率为 10%（n=253）。诊室 BP 控制率为 56.3%，家庭 BP 控制率为 61%。同时，46.4%的患者在诊室和家庭均控制了 BP。女性和 49-61 岁年龄组的控制率更高。考虑到新的 2020 年 DBHA 家庭 BP 控制阈值，控制率为 42.4%。
在巴西心脏病学家诊室中，BP 控制率为 56.3%；当在家测量 BP 时，这一比率为 61%，当同时考虑诊室和家庭时，这一比率为 46.4%。
