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2022
article
Implementation of the 2018 ESC/ESH Guidelines for the management of hypertension in primary care: the HYPEDIA study
Αναστάσιος Κόλλιας, Emmanouil Foukarakis, Konstantinos Karakousis, Eleftherios Adamopoulos, Georgios Afaras, Giorgos Aggelopoulos, T. Alexandropoulos, Stavros Alexiadis, A. Alexoudis, Evangelia Anastasiou, Antonios P. Antoniadis, Ilias Antoniou, Georgios Apazidis, Dimitrios Apostolidis, Georgios Arvanitakis, Panagiotis Arvanitis, Ieronymos Chager, Emmanouil Chalkiadakis, Symeon Charalampous, Christos Charmpas, Thekla Chatziadamidou, Dimitrios Chountis, Ioannis Choursalas, Dimitrios Chrysis, Nikolaos Chrysomallis, Vasiliki Dalakidou, Ioannis Dermitzakis, Ioannis Diakomichalis, Konstantinos Dimitriadis, Nikolaos Dimoulis, Paulos Dolapsakis, Theodoros Douvitsas, Papalymperi Elisavet, Athanasios Efstathiou, Petros Exarchos, Paulos Feggos, Theodoros Feloukas, Dimitrios Floros, E. Fourla, Charalampos Fragkiadakis, Marianna Gavriilidou, Dimitrios Georgakopoulos, Euaggelos Georgiadis, Ilias Georgiadis, Kosmas Georgopoulos, Chrysoula Georgopoulou, Emmanouil Giannadakis, Ioannis Giannadakis, Ιgnatios Giavazis, Alexandros Gkalapis, Thomas Gkinis, Dimitrios G. Eliopoulos, Imprahim Imamoglou, Vaia Ioannidou, Olympia Kapagiannidou, Charalampos Kapernopoulos, Konstantinos Kapetanios, Theodoros Karachalios, Soultana Karakatsani, Eustratios Karanikolas, Dimitrios Karlis, Theodoros Karonis, Andreas Karydakis, Emmanouil Kasotakis, Triantafyllos Katsoulas, Nikolaos Kipouridis, Petros Keryttopoulos, Vasileios Kleiousis, Ioannis Kokkalas, S. Kokkinos, Ilias Konstantinidis, Stauros Konstantinidis, Georgios Kontoroupis, E. Kosmaoglou, Leonidas Kostalas, Tsampikos Kourtis, Konstantinos Koutrolos, Charikleia Krontira, Kimonas Kypriotakis, Anastasios Kyventidis, Spyridon Lappos, Ioannis Leontaridis, Christos Liavas, Stauros Malliaros, Ioanna Markaki, Georgia Markopoulou-Drosou, Ioannis Mavrepis, Vasilis Mauridis, Fotis Maziotis, Elias E. Mazokopakis, Alkiviadis Melidoniotis, Nikolaos Maramveliotakis, Anastasia Mitakidou, Dimitrios Mitropoulos, Antonia Moschou, Kyriaki Mousoutzani, Antonis Mperoukas, Kosmas Botsas, Euaggelos Mpougiatiotis, Nikos Mpourneles, Georgios Migias, Savvas Nikiforos, Vasileios Nikolaidis, Christos K. Nikopoulos, Kadiani Nioti, Nikolaos Oikonomidis, Euaggelos Palmos, Christos Panagos, Maria Pantelidi, Georgios Papadimitriou, Achilleas Papadopoulos, Panagiotis Papadopoulos, Νικόλαος Παπαϊωάννου, Soultana Papanastasiou, Marianthi Papapavlou, Panagiotis Papas, Vasileios Paulidis, Georgios Pechlivanidis, Ilias Pelekanos, Leonidas Peltekis, Anna Pergaminou, Vasilis Plastiras, Athanasios Platis, Νικόλαος Πουλόπουλος, Petros Prokopis, Ali Risggits, Euaggelos Rosmarakis, Konstantinos Roumpanis, Ioannis Roussis, Alexis Samentzas, Katerina Santipantaki, Periklis Sarafianos, Isidoros Sarris, Dimitrios Savvalas, Georgios Sdralias, Ioannis Sfiniadakis, Simos Siachos, Loukas Sinos, Ourania Sitta, Andreas Skanavis, Ioannis Skias, Panagiotis Skiathitis, Dimitrios Skoutas, Dimitrios Srateh, Ioannis Stathis, Christos Stathopoulos, Christos Staurotheodoros, Emmanouil Stefanakis, Prokopis Stroumpoulis, Konstantinos Svolis, Petros Tapinis, Efstathios Taxiarchou, Maria Thoma, Konstantinos Thomaidis, Michail Timosidis, Paraschos Toloudis, Nikolaos Touroukis, Ioannis Triantafyllidis, Simon Tsalkitzis, Nikolaos Tsamouras, Konstantinos Tsavdaris, Ilias Tserkis, I. Tsiantis, Emmanouil Tsirekas, Ploutarchos Tzavaras, Eutychios Tzemanakis, Aristeidis Tziovas, Aikaterini Vagena, Ioannis Vakalis, Konstantinos E. Vardakis, Panagiotis Vavoulis, S. Vlachos, Euaggelos Voliotis, Europia Voukelatou, Konstantinos Vrogkistinos, Michail Xafenias, Dionysios P. Xenos, Ioannis Zacharakis, Natasa Zacharia, Christos Zafeiris, Ioannis Zafeiris, Charilaos Zakopoulos, Vaia Zoi, Ioannis Zolof, George S. Stergiou
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1Pays d’affiliation déclarés
Résumé fourni par la source
The HYPEDIA study aimed at evaluating the implementation of the 2018 European guidelines for treating hypertension in primary care. A nationwide prospective non-interventional cross-sectional study was performed in consecutive untreated or treated hypertensives recruited mainly in primary care in Greece. Participants' characteristics, office blood pressure (BP) (triplicate automated measurements, Microlife BPA3 PC) and treatment changes were recorded on a cloud platform. A total of 3,122 patients (mean age 64 ± 12.5 [SD] years, 52% males) were assessed by 181 doctors and 3 hospital centers. In 772 untreated hypertensives (25%), drug treatment was initiated in the majority, with monotherapy in 53.4%, two-drug combination in 36.3%, and three drugs in 10.3%. Angiotensin receptor blocker (ARB) monotherapy was initiated in 30%, ARB/calcium channel blocker (CCB) 20%, ARB/thiazide 8%, angiotensin converting enzyme inhibitor (ACEi)-based 19%. Of the combinations used, 97% were in single-pill. Among 977 treated hypertensives aged <65 years, 79% had BP ≥ 130/80 mmHg (systolic and/or diastolic), whereas among 1,373 aged ≥65 years, 66% had BP ≥ 140/80 mmHg. ARBs were used in 69% of treated hypertensives, CCBs 47%, ACEis 19%, diuretics 39%, beta-blockers 19%. Treatment modification was decided in 53% of treated hypertensives aged <65 years with BP ≥ 130/80 mmHg and in 62% of those ≥65 years with BP ≥ 140/80 mmHg. Renin-angiotensin system blocker-based therapy constitutes the basis of antihypertensive drug treatment in most patients in primary care, with wide use of single-pill combinations. In almost half of treated uncontrolled hypertensives, treatment was not intensified, suggesting suboptimal implementation of the guidelines and possible physician inertia.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Implementation of the 2018 ESC/ESH Guidelines for the management of hypertension in primary care: the HYPEDIA study
- Date Crossref
- 14/07/2022
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Blood Pressure and Hypertension StudiesSodium Intake and HealthHealth Systems, Economic Evaluations, Quality of Life