Roberto Dischinger Miranda et al. Andréa Araujo Brandão Weimar Kunz Sebba Barroso Marco Antonio Mota-Gomes … Eduardo Costa Duarte Barbosa Lucio Paulo Ribeiro Claudinelli Alvarenga Aguilar Fabio Serra Silveira Cristiano de Melo Rangel Gomes Abraham Epelman Annelise Machado Gomes de Paiva Audes Diógenes Magalhães Feitosa
Abstract
Background
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.
Objective
To provide epidemiological data on BP control in the offices of a sample of Brazilian cardiologists, considering office and home BP measurement.
Methods
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).
Results
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%.
Conclusion
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.
