A Survey of Actual Clinical Practice Concerning Blood Pressure Control among Patients with Hypertension in Kanagawa 2014

被引:4
作者
Hatori, Nobuo [1 ]
Sakai, Hiroyuki [1 ]
Sato, Kazuyoshi [1 ]
Miyajima, Masayuki [1 ]
Yuasa, Shouhei [1 ]
Kuboshima, Shingo [1 ]
Kajiwara, Keiichi [1 ]
Hara, Yoshikuni [1 ]
Minamizawa, Kousuke [1 ]
Miyakawa, Masaaki [1 ]
机构
[1] Kanagawa Phys Assoc, Kanagawa, Japan
关键词
blood pressure; physicians; guidelines; GENERAL JAPANESE POPULATION; CORONARY-ARTERY-DISEASE; CHRONIC KIDNEY-DISEASE; CARDIOVASCULAR-DISEASE; GUIDELINES; MANAGEMENT; NIFEDIPINE; MORTALITY; RISK;
D O I
10.1272/jnms.83.188
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We performed a cross-sectional survey to investigate actual clinical practice concerning blood-pressure control among patients with hypertension in Kanagawa. The guidelines of the Japanese Society of Hypertension (JSH) for the management of patients with hypertension were revised in 2014. From October 1 to November 30, 2014, questionnaires on the care of patients with hypertension were sent via post to members of the Kanagawa Physicians Association in Kanagawa Prefecture, Japan. -Data on 1,105 patients (mean age: 68.4 +/- 12.3 years, 537 men and 568 women) were obtained. The overall mean systolic blood pressure (BP) of these patients was 128.7 +/- 12.1 mmHg for home monitoring and 132.9 +/- 12.6 mmHg for office monitoring; diastolic BP was 75.7 +/- 9.7 for home monitoring and 77.0 +/- 9.7 mmHg for office monitoring. According to the JSH 2014 guidelines, the target BP was achieved by 68.1% of all subjects; 89.2% of late-phase elderly patients (75 years or older); 69.1% of young, middle-aged, and early phase elderly patients (younger than 75 years except in patients with diabetes mellitus [DM] or chronic kidney disease [CKD] with proteinuria); 9.3% of patients with DM except late-phase elderly patients; and 11.9% of CKD patients with proteinuria except DM. Cross-sectional analysis showed that the factors significantly associated with an increased likelihood of achieving the target BP were as follows: 1) good medication compliance even for a small number of antihypertensive agents at small amount of doses in patients 75 years and older; 2) good medication compliance in patients in younger than 75 years; 3) an older age, a larger proportion in the female-to-male ratio and a lower body mass index in patients with DM except late-phase elderly patients; and 4) usage of a large number of antihypertensive agents in CKD patients with proteinuria. Further follow-up surveys are necessary to investigate changes in clinical practice following the introduction of the revised guidelines.
引用
收藏
页码:188 / 195
页数:8
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