Original scientific paper

Causes of poor hypertension control in family medicine

Nina Janjić Zovko ; Specijalistička ordinacija obiteljske medicine, DZ SDŽ
Mirjana Rumboldt ; Medicinski fakultet Sveučilišta u Splitu

Abstract

Aim.
Arterial hypertension is a major cardiovascular risk factor. The aim of this study was to identify and rank causes and risk factors for uncontrolled hypertension, such as compliance, excessive salt intake, sex, age and socioeconomic status.
Methods.
There were 292 treated hypertensive patients included in this study and divided into two groups – well controlled (BP <140/90 mm Hg), and
uncontrolled (RR >140/90 mm Hg). Demographic, anthropocentric, socioeconomic, and laboratory data, including daily natriuria using the Kawasaki formula were analyzed.
Results.
45.5% of the examinees were well controlled and 54.5% uncontrolled.
The average sodium excretion was 171 mmol/day (IQR 130-207), with no significant differences between the groups. A significant link was
identified between the uncontrolled hypertension and lower education level (x2 = 8.024; P = 0.046), „blue collar“ occupation (x2 = 5.702; P = 0.017) and low socioeconomic status (x2 = 8.020; P = 0.018).
Conclusion. Family physicians can modify patients’ attitudes, including the acceptance of a healthy life style. The factors affecting blood pressure control should be identified individually and patients should
be informed about non-pharmacological measures, such as excessive salt intake, emphasizing those which could be maintained consistently .

Keywords

arterial hypertension; sodium; hypertension control

Hrčak ID:

149216

URI

https://hrcak.srce.hr/149216

Publication date:

9.12.2015.

Article data in other languages: croatian

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