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Advisor(s)
Abstract(s)
As doenças cardiovasculares são a principal causa de morbilidade e mortalidade em
Portugal, sendo responsáveis por cerca de 32% do total de óbitos e elevado número de
incapacidade. A hipertensão arterial é o principal fator de risco para o acidente vascular
cerebral e um fator de risco importante para eventos coronários, insuficiência cardíaca
e renal. Em geral, a prevalência da hipertensão é de aproximadamente 42,2% segundo
o estudo PHYSA, com um aumento acentuado devido ao envelhecimento.
A maioria dos casos de hipertensão são orientados e seguidos na especialidade
Medicina Geral e Familiar, mas os casos mais complexos e refratários ao tratamento, o
acompanhamento é feito em contexto hospitalar por especialistas em Cardiologia.
Apesar do desenvolvimento a nível das terapêuticas farmacológicas, alteração de
hábitos de vida e vigilância no controlo da hipertensão, existe ainda um número
considerável de pessoas que não consegue ter a pressão arterial dentro dos valores
recomendados pela Organização Mundial de Saúde.
Pelos motivos supracitados, serve a presente investigação para avaliar os
fatores/motivos que impedem ou dificultam o controlo dos valores de pressão arterial
em doentes do Centro Hospitalar Universitário da Cova da Beira entre os anos de 2019
e 2020, e perceber então de que modo podemos alterar a estratégia terapêutica para
atingir o alvo de tensão arterial.
Cardiovascular diseases are the main cause of morbidity and mortality in Portugal, accounting for about 32% of all deaths and a high amount of disability. Arterial hypertension is the main risk factor for stroke and an important risk factor for coronary events, and heart and kidney failure. Overall, the prevalence of hypertension is around 42.2% according to the PHYSA study, with a sharp increase due to aging. Most cases of hypertension are guided and followed in the General and Family Medicine specialty, but the follow-up of most complex cases and those refractory to treatment is done in hospital context, by Cardiology specialists. Despite the current improvement in pharmacological therapy, changes in lifestyle and surveillance in the control of hypertension, there is still a considerable number of people who cannot have their blood pressure within the World Health Organization recommended values. For the reasons mentioned above, the present investigation serves to evaluate the factors/reasons that prevent or hinder the control of blood pressure values in Centro Hospitalar Universitário Cova da Beira patients between the years of 2019 and 2020, and then understand how we can change the therapeutic strategy to achieve the target blood pressure.
Cardiovascular diseases are the main cause of morbidity and mortality in Portugal, accounting for about 32% of all deaths and a high amount of disability. Arterial hypertension is the main risk factor for stroke and an important risk factor for coronary events, and heart and kidney failure. Overall, the prevalence of hypertension is around 42.2% according to the PHYSA study, with a sharp increase due to aging. Most cases of hypertension are guided and followed in the General and Family Medicine specialty, but the follow-up of most complex cases and those refractory to treatment is done in hospital context, by Cardiology specialists. Despite the current improvement in pharmacological therapy, changes in lifestyle and surveillance in the control of hypertension, there is still a considerable number of people who cannot have their blood pressure within the World Health Organization recommended values. For the reasons mentioned above, the present investigation serves to evaluate the factors/reasons that prevent or hinder the control of blood pressure values in Centro Hospitalar Universitário Cova da Beira patients between the years of 2019 and 2020, and then understand how we can change the therapeutic strategy to achieve the target blood pressure.
Description
Keywords
Controlo Epidemiologia Fatores de Risco Hipertensão Arterial Pressão Arterial Tratamento