Caracterização, terapêutica e controlo da hipertensão arterial em utentes de farmácias do Conselho de Vila Nova de Famalicão
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Arterial Hypertension (AHT) is one of the most concerning health issues worldwide, due to its importance as a risk factor for cardiovascular diseases (CVD).
Objectives: Determine the proportion of AHT, characterize the disease, therapeutics and related factors on users of 2 Pharmacies of Vila Nova de Famalicão city.
Materials and Methods: It was performed a descriptive and correlational cross-sectional study included 352 users of 2 Pharmacies from Vila Nova de Famalicão. The data was collected using a questionnaire and an automatic blood pressure (BP) measuring device.
Results and Discussion: The proportion of self-reported HTA was 34.4%, mostly in older age groups (66.7% and 82.4% for users with 62-72 and 84-95 years, respectively). Moreover, an important amount of hypertensive users didn’t have their BP values controlled, with values of 38% and 49% for high diastolic and high systolic BP, respectively. Concerning the pharmacological treatment, 24.8% of the hypertensive users do not take medication, most of them due to the lack of symptoms (44.2%). Diuretics were the medicines more used in AHT therapeutics (19.9%) followed by Angiotensin-Converting-Enzyme (ACE) inhibitors (14.9%), which is according to the Portuguese treatment guidelines. Some risk factors identified as associated with AHT were the age (p<0.001), Body Mass Index (BMI) (p=0.001), CVD factor history [stroke (p<0.001), heart attack (p=0.001), dyslipidemia (p<0.001), diabetes (p=0.001)] and family history of AHT (p<0.001). All of them are reported in the literature as related factors with AHT and globally as CVD.
Conclusion: The AHT was more prevalent in older age groups, with high BMI and individual CVD history, being diuretics and ACE inhibitors the most used therapy.
