Casuistry of patients attended in a polyclinic of arterial hypertension

Abstract

Introduction: high blood pressure is one of the most prevalent cardiovascular risk factors in the world. Early detection, appropriate treatment and control determine important health and economic benefits. Given the high incidence of consultations due to complications of this disease, in 2014 the hypertension polyclinic was created in the Maciel Hospital, in which evaluation and treatment of the hypertensive patient were carried out in an integral way, fundamentally for those with difficult control.
Objective: to characterize the population of hypertensive patients attending this polyclinic, as well as to show the results of its implementation regarding the figures control.
Materials and methods: descriptive, longitudinal, retro and prospective study between 2015-2017 that includes patients who are attended by polyclinic, excludes pregnant women, young persons under 18 years old, those who were not
controlled in the last year and deceased.
Results: 122 patients were analysed, average age 59,8 years old, female sex 1.8:1. Associated cardiovascular risk factors: overweight/obesity (88%), dyslipidemia (65%), smoking (39%) and diabetes (29%). Prevalence of white organ damage 62% at the time of referral.98%receive pharmacological treatment:71%combined therapy.Hypertension grade III predominates (68,9%).
Conclusion: the population is characterized by a high incidence of overweight/obesity, hypertension grade III as well as high prevalence of white organ damage at the time of consultation, which leads to think that the patients are derived late. In the subgroup of hypertensives grade III adequate average control of blood pressure figures was achieved in the annual follow-up.