[Insufficient blood pressure control following coronary revascularization].

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  • Additional Information
    • Transliterated Title:
      Insufficient blodtrykskontrol efter koronar revaskularisering.
    • Source:
      Publisher: Den Alm Danske Laegerforening Country of Publication: Denmark NLM ID: 0141730 Publication Model: Print Cited Medium: Internet ISSN: 1603-6824 (Electronic) Linking ISSN: 00415782 NLM ISO Abbreviation: Ugeskr Laeger Subsets: MEDLINE
    • Publication Information:
      Original Publication: Copenhagen : Den Alm Danske Laegerforening
    • Subject Terms:
      Blood Pressure Determination* ; Myocardial Revascularization*; Hypertension/*diagnosis; Antihypertensive Agents/therapeutic use ; Blood Pressure Monitoring, Ambulatory ; Body Mass Index ; Female ; Humans ; Hypertension/complications ; Hypertension/drug therapy ; Lipids/blood ; Male ; Myocardial Ischemia/prevention & control ; Myocardial Ischemia/surgery ; Risk Factors ; Secondary Prevention
    • Abstract:
      Introduction: After coronary revascularization, anti-angina treatment is often withdrawn or reduced while the ejection fraction tends to improve. Both contribute to increase blood pressure (BP). The purpose of the present study was to evaluate BP control in patients after revascularization procedures.
      Material and Methods: In 190 patients (48 females) who had passed a coronary revascularization procedure at least 12 months earlier, the blood pressure was measured both at the ambulatory and at the clinic; blood samples were drawn for determination of lipids and plasma glucose; body mass index (BMI) was determined; the clinical history was taken with special emphasis on medication and smoking habits.
      Results: The mean BP was 134.2 +/- 17.6/81.1 +/- 9.7 mmHg at the clinic and the daytime ambulatory value was 132.8 +/- 13.8/78.3 +/- 8.7 mmHg. Poor BP control was found in 42.6% of the patients according to clinic measurements and in 51.6% according to ambulatory measurements. Among the patients with known diabetes, 64.3% were poorly controlled according to clinic measurements and 75.0% according to ambulatory measurements. Medicines with BP lowering effects were taken by 79.0% of the patients. BMI was above 25 in 71.6% of the patients, whereas 58.9% of the patients had total cholesterol >or= 4.5 mmol/l. Twenty-eight percent were still smokers a year after revascularization.
      Conclusion: The BP control in patients after revascularization is unsatisfactory as approximately half of the study participants had a BP above the recommended ranges.
    • Comments:
      Comment in: Ugeskr Laeger. 2009 Mar 23;171(13):1101; author reply 1101. (PMID: 19330956)
    • Accession Number:
      0 (Antihypertensive Agents)
      0 (Lipids)
    • Publication Date:
      Date Created: 20090317 Date Completed: 20090319 Latest Revision: 20090402
    • Publication Date:
      20231215
    • Accession Number:
      19284902