Investigation on the Antihypertensive Therapy for Hypertension Patients in Wuhou District Communities in Chengdu City_West China Medical Journal

Authors：

 ZHAOLi-ming ,  CHENXiao-ping , WANGSi , HESen , WANGYong , HEJi-yun

Department of Cardiovascular Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CHENXiao-ping, Email: chenxp2@yahoo.cn

Keywords：

Hypertension; Antihypertensives; Community

DOI：

10.7507/1002-0179.20140143

Video：

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Objective To investigate on the antihypertensive therapy for hypertension patients in Wuhou District communities in Chengdu city and assess whether they have complied with the hypertension treatment guidelines. Methods In a survey of 1 539 community people, we selected 337 hypertensive patients who had detailed high blood pressure medication records. Results The main characteristics of community hypertension treatment included higher proportions of single-drug therapy (70.3%), and traditional compound preparation (13.9%). Calcium channel blockers (CCB) and beta blockers were most commonly used in the dual step-down scheme (39.7%), while CCB, angiotensin converting enzyme inhibitors and beta blockers were mostly used in step-down triple combination. The control rate was 46.7% after antihypertensive drug treatment in the community. Conclusion It is necessary to carry out hypertension education, strengthen the training of doctors at the basic level with hypertension prevention and control guidelines to improve the rates of treatment and control of hypertension.

Citation： ZHAOLi-ming, CHENXiao-ping, WANGSi, HESen, WANGYong, HEJi-yun. Investigation on the Antihypertensive Therapy for Hypertension Patients in Wuhou District Communities in Chengdu City. West China Medical Journal, 2014, 29(3): 474-477. doi: 10.7507/1002-0179.20140143 Copy

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9.	Poulter NR, Wedel H, Dahlöf B, et al. Role of blood pressure and other variables in the differential cardiovascular event rates noted in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA)[J]. Lancet, 2005, 366(9489):907-913.
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1. Lewington S, Clarke R, Qizilbash N, et al. Age-specific relevance of usual blood pressure to vascular mortality:a meta-analysis of individual data for one million adults in 61 prospective studies[J]. Lancet, 2002, 360(9349):1903-1913.
2. Schapira MM, Fletcher KE, Hayes A, et al. The development and validation of the hypertension evaluation of lifestyle and management knowledge scale[J]. J Clin Hypertens (Greenwich), 2012, 14(7):461-466.
3. 中国血压测量工作组. 中国血压测量指南[J]. 中华高血压杂志, 2011, 19(12):1101-1115.
4. 中国高血压防治指南修订委员会. 中国高血压防治指南2010[J]. 中华心血管病杂志, 2011, 39(7):579-616.
5. 唐丹, 秦方, 闫亚非, 等. 成都社区高血压现状调查[J]. 四川医学, 2010, 31(10):1417-1419.
6. 吴敌, 王伊龙, 周永, 等. 北京市11家医院缺血性卒中和短暂性脑缺血发作患者血压控制状况的横断面调查[J]. 中国卒中杂志, 2009, 4(6):464-469.
7. Mancia G, De Backer G, Dominiczak A, et al. 2007 Guidelines for the management of arterial hypertension:the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2007, 28(12):1462-1536.
8. Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension:the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2013, 34(28):2159-2219.
9. Poulter NR, Wedel H, Dahlöf B, et al. Role of blood pressure and other variables in the differential cardiovascular event rates noted in the Anglo-Scandinavian Cardiac Outcomes Trial-Blood Pressure Lowering Arm (ASCOT-BPLA)[J]. Lancet, 2005, 366(9489):907-913.
10. Jamerson K, Weber MA, Bakris GL, et al. Benazepril plus amlodipine or hydrochlorothiazide for hypertension in high-risk patients[J]. N Engl J Med, 2008, 359(23):2417-2428.
11. Chobanian AV, Bakris GL, Black HR. The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. The JNC 7 report[J]. JAMA, 2003, 12(4):31-32.

West China Medical Journal

Investigation on the Antihypertensive Therapy for Hypertension Patients in Wuhou District Communities in Chengdu City

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