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Characterization and history of arterial hypertension leading to inpatient treatment

BACKGROUND AND AIMS: Arterial hypertension is a major cause of death worldwide. For the most part, treatment for hypertension can be performed on an outpatient basis. However, some patients also require inpatient treatment, and the contributing factors for this remain unknown. Therefore, the primary...

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Autores principales: Bramlage, Carsten P., Nasiri-Sarvi, Mina, Minguet, Joan, Bramlage, Peter, Müller, Gerhard Anton
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075984/
https://www.ncbi.nlm.nih.gov/pubmed/27776558
http://dx.doi.org/10.1186/s13104-016-2285-y
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author Bramlage, Carsten P.
Nasiri-Sarvi, Mina
Minguet, Joan
Bramlage, Peter
Müller, Gerhard Anton
author_facet Bramlage, Carsten P.
Nasiri-Sarvi, Mina
Minguet, Joan
Bramlage, Peter
Müller, Gerhard Anton
author_sort Bramlage, Carsten P.
collection PubMed
description BACKGROUND AND AIMS: Arterial hypertension is a major cause of death worldwide. For the most part, treatment for hypertension can be performed on an outpatient basis. However, some patients also require inpatient treatment, and the contributing factors for this remain unknown. Therefore, the primary objective of the present study was to determine which patient characteristics are associated with inpatient treatment for arterial hypertension. METHODS: Here, we conducted a mono-centric study of 103 hypertensive subjects, who were treated as inpatients in the Department of Nephrology and rheumatology of the university medical faculty of Göttingen. Therapies were not altered, and data collection was performed retrospectively. In addition to epidemiological information, the following data were recorded: patient symptoms, blood pressure (BP), anti-hypertensive therapy, and concomitant diseases (e.g., renal and cardiovascular conditions). RESULTS: Approximately half (53 %) of all subjects treated on an inpatient basis displayed elevated BP (>140/90 mmHg), while the remaining 47 % of patients showed normotensive readings (<140/90 mmHg) following admission. Moreover, 34 % of patients could be classified as therapy refractory. The main reasons for hospital admission were hypertension-related symptoms, including shortness of breath, dizziness, and headache (69 %). These patients were multi-morbid, with approximately 60 % displaying a secondary form of hypertension. Indeed, over half of the subjects showed renoparenchymatous forms of hypertension, and a large percentage of patients received hypertension-inducing drugs (32 %). Moreover, a high proportion of inpatients were treated with reserve antihypertensives, with the most commonly used drug being Moxonidin. CONCLUSION: The majority of hypertensive patients were hospitalized due to their clinical symptoms and not as a result of BP values alone. The high proportion of patients with secondary forms of hypertension or treated with BP-boosting medications was striking.
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spelling pubmed-50759842016-10-28 Characterization and history of arterial hypertension leading to inpatient treatment Bramlage, Carsten P. Nasiri-Sarvi, Mina Minguet, Joan Bramlage, Peter Müller, Gerhard Anton BMC Res Notes Research Article BACKGROUND AND AIMS: Arterial hypertension is a major cause of death worldwide. For the most part, treatment for hypertension can be performed on an outpatient basis. However, some patients also require inpatient treatment, and the contributing factors for this remain unknown. Therefore, the primary objective of the present study was to determine which patient characteristics are associated with inpatient treatment for arterial hypertension. METHODS: Here, we conducted a mono-centric study of 103 hypertensive subjects, who were treated as inpatients in the Department of Nephrology and rheumatology of the university medical faculty of Göttingen. Therapies were not altered, and data collection was performed retrospectively. In addition to epidemiological information, the following data were recorded: patient symptoms, blood pressure (BP), anti-hypertensive therapy, and concomitant diseases (e.g., renal and cardiovascular conditions). RESULTS: Approximately half (53 %) of all subjects treated on an inpatient basis displayed elevated BP (>140/90 mmHg), while the remaining 47 % of patients showed normotensive readings (<140/90 mmHg) following admission. Moreover, 34 % of patients could be classified as therapy refractory. The main reasons for hospital admission were hypertension-related symptoms, including shortness of breath, dizziness, and headache (69 %). These patients were multi-morbid, with approximately 60 % displaying a secondary form of hypertension. Indeed, over half of the subjects showed renoparenchymatous forms of hypertension, and a large percentage of patients received hypertension-inducing drugs (32 %). Moreover, a high proportion of inpatients were treated with reserve antihypertensives, with the most commonly used drug being Moxonidin. CONCLUSION: The majority of hypertensive patients were hospitalized due to their clinical symptoms and not as a result of BP values alone. The high proportion of patients with secondary forms of hypertension or treated with BP-boosting medications was striking. BioMed Central 2016-10-24 /pmc/articles/PMC5075984/ /pubmed/27776558 http://dx.doi.org/10.1186/s13104-016-2285-y Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Bramlage, Carsten P.
Nasiri-Sarvi, Mina
Minguet, Joan
Bramlage, Peter
Müller, Gerhard Anton
Characterization and history of arterial hypertension leading to inpatient treatment
title Characterization and history of arterial hypertension leading to inpatient treatment
title_full Characterization and history of arterial hypertension leading to inpatient treatment
title_fullStr Characterization and history of arterial hypertension leading to inpatient treatment
title_full_unstemmed Characterization and history of arterial hypertension leading to inpatient treatment
title_short Characterization and history of arterial hypertension leading to inpatient treatment
title_sort characterization and history of arterial hypertension leading to inpatient treatment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075984/
https://www.ncbi.nlm.nih.gov/pubmed/27776558
http://dx.doi.org/10.1186/s13104-016-2285-y
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