Well Controlled Blood Pressure in Turkish Patients: How Many Drugs Are Required to Attain and Maintain the Blood Pressure Goal?

• 作者: Mustafa Temizel Ugur Dilek Calap Murtaza Cit Mansur Azermir Yucel Arman
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Blood Pressure Antihypertensive Agents Hypertension
• 年，卷（期）: 2021,（1）
• 页码范围: 23-33
• 页数: 11页
• 分类号: R54

摘要

<strong>Background: </strong>This study aimed to determine the number of antihypertensive agents required to achieve optimal blood pressure (BP) in Turkish hypertensive patients. <strong>Material and Methods: </strong>Totally 400 hypertensive patients (114 males and 286 females) were enrolled. BP was measured by patients at home twice a day. The patients were called for controlling in every four weeks, and those who had BP < 140/90 were not followed-up. In patients with BP > 140/90 drug, doses were increased or another antihypertensive drug added and the patients were continued to be followed-up. <strong>Results:</strong> In the first follow-up (on the 4^th week), 152 (38%) patients, including 35 (31%) men and 117 (41%) women, attained the goal BP. The mean duration of hypertension in single, double, triple, and quadruple treatment groups was 6.2 ± 5.0, 6.8 ± 5.9, 8.8 ± 5.4, and 10.4 ± 6.6 years, respectively. In the beginning, the median number of agents used for each patient was 2.17. When the follow-up was concluded, the median of agents used for each patient was 2.72. <strong>Conclusion:</strong> Thirty-eight percent of participants had controlled hypertension in the first follow-up. Women had better BP control. The median number of agents required for attaining and maintaining BP goal was 2.72. More drugs are needed when hypertension gets longer.