lnu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Optimal blood pressure control after coronary events: the challenge remains
Vestre Viken Trust, Norway;Univ Oslo, Norway.
Vestfold Hosp Trust, Norway.
Vestfold Hosp Trust, Norway.
Univ Oslo, Norway.
Visa övriga samt affilieringar
2017 (Engelska)Ingår i: Journal of the American Society of Hypertension : JASH, ISSN 1933-1711, E-ISSN 1878-7436, Vol. 11, nr 12, s. 823-830Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

We identified sociodemographic, medical, and psychosocial factors associated with unfavorable blood pressure (BP) control in 1012 patients, hospitalized with myocardial infarction and/or a coronary revascularization procedure. This cross-sectional study collected data from hospital records, a comprehensive self-report questionnaire, clinical examination, and blood samples after 2-36 (mean 17) months follow-up. Forty-six percent had unfavorable BP control (>= 140/90 [80 in diabetics] mm Hg) at follow-up. Low socioeconomic status and psychosocial factors did not predict unfavorable BP control. Patients with unfavorable BP used on average 1.9 (standard deviation 1.1) BP-lowering drugs at hospital discharge, and the proportion of patients treated with angiotensin inhibitors and beta-blockers decreased significantly (P < .001) from discharge to follow-up. Diabetes (odds ratio [OR] 2.4), higher body mass index (OR 1.05 per 1.0 kg/m(2)), and older age (OR 1.04 per year) were significantly associated with unfavorable BP control in adjusted analyses. Only age (standardized beta [beta] 0.24) and body mass index (beta 0.07) were associated with systolic BP in linear analyses. We conclude that BP control was insufficient after coronary events and associated with obesity and diabetes. Prescription of BP-lowering drugs in hypertensive patients seems suboptimal. Overweight and intensified drug treatment thus emerge as the major factors to target to improve BP control. (C) 2017 American Society of Hypertension. All rights reserved.

Ort, förlag, år, upplaga, sidor
Elsevier, 2017. Vol. 11, nr 12, s. 823-830
Nyckelord [en]
Antihypertensive treatment, medical factors, psychosocial factors, secondary prevention
Nationell ämneskategori
Omvårdnad Kardiologi
Forskningsämne
Hälsovetenskap, Omvårdnad
Identifikatorer
URN: urn:nbn:se:lnu:diva-69796DOI: 10.1016/j.jash.2017.10.007ISI: 000418878300006PubMedID: 29128603Scopus ID: 2-s2.0-85034613636OAI: oai:DiVA.org:lnu-69796DiVA, id: diva2:1173539
Tillgänglig från: 2018-01-12 Skapad: 2018-01-12 Senast uppdaterad: 2019-08-29Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltextPubMedScopus

Personposter BETA

Perk, Joep

Sök vidare i DiVA

Av författaren/redaktören
Perk, Joep
Av organisationen
Institutionen för hälso- och vårdvetenskap (HV)
I samma tidskrift
Journal of the American Society of Hypertension : JASH
OmvårdnadKardiologi

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 1 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf