A pressão arterial entre pacientes diagnosticados com hipertensão pareceu aumentar ligeiramente e as taxas de pressão arterial sistólica (número superior) controladas durante uma consulta ambulatorial pareceram diminuir ligeiramente...
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)
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A pressão arterial entre pacientes diagnosticados com hipertensão pareceu aumentar ligeiramente e as taxas de pressão arterial sistólica (número superior) controladas durante uma consulta ambulatorial pareceram diminuir ligeiramente durante os meses de inverno, de acordo com um novo estudo a ser apresentado na Hypertension Scientific da American Heart Association . Sessões 2023 , realizadas de 7 a 10 de setembro de 2023, em Boston.
De acordo com a atualização estatística de 2023 da American Heart Association , quase metade dos adultos nos EUA tem pressão alta . Pesquisas anteriores descobriram que a pressão arterial varia de acordo com as estações do ano. A maior parte dessa variação ocorre na pressão arterial sistólica – o número mais alto na leitura da pressão arterial que mede a pressão dentro/contra os vasos sanguíneos durante os batimentos cardíacos. Os autores do estudo procuraram compreender se o controle da pressão arterial , definido neste estudo como inferior a 140/90 mm Hg entre pacientes com hipertensão, variava de acordo com a estação.
“Apesar do menor grau de variação da pressão arterial sistólica em comparação com estudos anteriores sobre a sazonalidade da pressão arterial, ficamos surpresos ao observar um grande grau de mudança no controle da pressão arterial entre os meses de inverno e verão”, disse o principal autor do estudo, Robert B. Barrett . , engenheiro de software da American Medical Association em Greenville, Carolina do Sul.
“Indivíduos com hipertensão ou valores próximos da faixa de hipertensão podem se beneficiar do monitoramento periódico da pressão arterial e de melhorias na atividade física e nos padrões nutricionais durante os meses de inverno para compensar os efeitos adversos das alterações sazonais da pressão arterial”.
Os investigadores analisaram registos de saúde electrônico de 60.676 adultos tratados de hipertensão entre julho de 2018 e junho de 2023 em seis centros de saúde. Cada participante permaneceu em suas classes de medicamentos anti-hipertensivos originalmente prescritas durante todo o período de revisão. Principalmente nas regiões Sudeste e Centro-Oeste, os centros variavam de pequenos centros de saúde ou clínicas sem fins lucrativos financiados pelo governo federal até grandes centros médicos acadêmicos.
As leituras sazonais da pressão arterial foram analisadas para avaliar as variações no controle da pressão arterial durante os meses de inverno versus verão (dezembro a fevereiro versus junho a agosto, respectivamente) como parte de um programa de melhoria de qualidade para médicos e centros de saúde. Os participantes do estudo tinham idade média de 62 anos; 52,3% identificados como raça branca; 59,7% identificaram-se como mulheres.
A análise dos registos de saúde constatou que, em média, a pressão arterial sistólica dos participantes aumentou até 1,7 mm Hg nos meses de inverno em comparação com os meses de verão. Além disso, descobriram que as taxas de controlo da pressão arterial diminuíram até 5% durante os meses de inverno.
Orientações futuras para investigação podem incluir a análise da frequência de doenças cardíacas e mortes durante cada estação, observaram os autores.
As limitações do estudo incluem que os registros eletrônicos de saúde não capturaram um histórico de saúde completo de cada participante e que as informações coletadas de cada paciente foram recuperadas apenas da instituição onde foram tratados.
A Diretriz ACC/AHA de 2017 para Prevenção, Detecção, Avaliação e Tratamento da Pressão Arterial Elevada em Adultos classifica a hipertensão como tendo números superiores e inferiores maiores ou iguais a 130/80 mm Hg. Este estudo definiu hipertensão como números maiores ou iguais a 140/90 mm Hg.
Mais informações: Barrett apresenta O efeito da sazonalidade temperada na pressão arterial sistólica é amplificado nas taxas de controle populacional às 8h45 ET do sábado, 9 de setembro de 2023, Apresentação nº 049; Resumo #493