CLINICAL AND EPIDEMIOLOGICAL ASSESSMENT OF THE INCIDENCE OF ARTERIAL HYPERTENSION IN A PERMANENT MEDICAL CENTER

Authors

  • Isabella BRUJBU University of Medicine and Pharmacy "Grigore T. Popa" - Iasi
  • Andreea MACOVEI University of Medicine and Pharmacy "Grigore T. Popa" - Iasi
  • R. V. MURARIU Directorate of Community Assistance Iasi, Department of School Health
  • M. RADULESCU Family Medicine Practice, Permanent Medical Center "Plugari", Iaşi

Keywords:

HYPERTENSION, CLINICAL EPIDEMIOLOGY, RISK FACTORS.

Abstract

The present study shows the results of monitoring, evaluation and prediction of health status in a patient group with hypertension (HTN) seeking care in a permanent medical center. Materials and methods: The study evaluated 144 patients registered at the Permanent Medical Center of the Plugari village, Iaşi County, who were diagnosed with HTN between 2011 and 2013. The study group included 80 male patients with an average age of 51.25 years with a diagnosis of essential hypertension (EHTN) stage I, II or III and 64 female patients (group II), with an average age of 48.4 years. Results: 44 patients (30.55 % of the total number of patients) were diagnosed with HTN stage I, of whom 27 were female (61.36 %) and 17 were male (38.64 %); 69 patients (47.93 %) had HTN stage II, of whom 21 were female (30.43 %) and 48 were male (69.57 %), and 31 patients (21.52 %) had HTN stage III, of whom 16 were female (51.61 %) and 15 were male (48.39 %). Conclusions: Patients at high risk for HTN and those with mild and moderate clinical forms were surveyed and were early treated. Economic and social benefits were achieved due to lower hospitalization costs, fewer days of temporary disability and reduced medical retirements. In our study groups, HTA had a higher prevalence, especially in men.

Author Biographies

  • Isabella BRUJBU, University of Medicine and Pharmacy "Grigore T. Popa" - Iasi

    Faculty of Medicine
    Discipline of Family Medicine               

  • Andreea MACOVEI, University of Medicine and Pharmacy "Grigore T. Popa" - Iasi

    Faculty of Medicine
    Discipline of Rheumatology-Balneophysiotherapy

References

1. Arclay L. Diabetic Foot Infection Classification System Validated. Clin. Infect. Dis. 2007; 44: 562-565.
2. Azoicăi D, Manole A, Trifan M. Ghid pentru pregătirea în asistenţa primară a stării de sănătate şi epidemiologie. Editura "Gr.T.Popa", Iaşi, 2004.
3. Carretero OA, Oparil S. Essenţial hypertension. Part I: Definition and etiology. Circulation. 2000; 101(3): 329-351.
4. Leon MM, Mitu F. The clinical epidemiological study of drugs used to treat arterial hypertension and comorbidities associated. Rev. Med. Chir. 2013; 117(2): 488-494.
5. Dickinson HO, Mason JM, Nicolson DJ, Campbell F, Beyer FR, Cook JV, Williams B, Ford GA. Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials. J Hypertens. 2006; 24: 215-233.
6. Dimitriu L, Dimitriu AG. Research of the interrelations of alcoholism with other cardiovascular risk factors. Rev. Med. Chir. 2007; 111(Supl.1): 2.
7. He FJ, MacGregor GA. A comprehensive review on salt and health and current experience of world-wide salt reduction programmes. J Hum Hypertens. 2009; 23(6): 363-384.
8. Ciocoiu M, Azoicăi D, Bădescu M, et al. Occupational stress - risk factor in essential arterial hyper-tension. Rev.Med.Chir. 2000; 104(2): 113-117.
9. Mancia G, De Backer G, Dominiczak A, et al. ESH-ESC Practice Guidelines for the Management of Arterial Hypertension: ESH-ESC Task Force on the Management of Arterial Hypertension. J. Hyper-tens. 2007; 25(9): 1751-1762.
10. Fauci AS, Braunwald E, Loscalzo J, et al. Harrison's Principles of Internal Medicine. 17th Edition, McGraw-Hill Medical, New York, 2008.
11. Ivan A, Azoicăi D, Ştefanache F, et al. Prospective epidemiological and clinical observations on the prevalence of risk factors for stroke performed on 374 inpatients, during the period of June 2001 - June 2004. Rev. Med. Chir. 2004; 108(3): 561-565.
12. Whelton PK, He J, Appel LJ et al. Primary prevention of hypertension: clinical and public health advisory from the National High Blood Pressure Education Program. JAMA 2002; 288(15): 1882–1888.
13. Williams B, Poulter NR, Brown MJ, et al. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, J Hum Hypertens. 2004; 18(3): 139–185.
14. Mesas AE, Leon-Muñoz LM, Rodriguez-Artalejo F, et al. The effect of coffee on blood pressure and cardiovascular disease in hypertensive individuals: A systematic review and meta-analysis. Am J Clin Nutr. 2011; 94: 1113–1126.

Additional Files

Published

2018-05-08

Issue

Section

PREVENTIVE MEDICINE - LABORATORY