학술논문
La Hipertensió arterial a la pràctica: optimització de la mesura de la pressió arterial i de l'avaluació de l'afectació dels òrgans diana
Document Type
Dissertation/Thesis
Author
Source
TDX (Tesis Doctorals en Xarxa)
Subject
616.1
Language
Catalan; Valencian
Abstract
Goals: a) to evaluate the utility of BP measurement in the nurse office; b) to determine the normal 'cut-off' of HBPM at the moment of diagnosis; c) to determine if fundus eye examination permit a better cardiovascular risk stratification in hypertensive. Results: a) first goal: the values of the nurse measured blood pressure are very similar to AMPA and decisions should be based on this measure. b) second goal: the risk of target organ damage in some hypertensive patients newly diagnosed with isolated clinical hypertension occurs progressively from an OR of 2.5 for a cutoff of <125/80 mmHg OR of 4.0 for a cutoff <135/85 mmHg. The normal 'cut-off' is <130/80-85 mmHg. c) third goal: a significant number of patients change risk group when considering the results of the exploration of the fundus