■高血压是一个主要的公共卫生问题,因此,其及时和适当的诊断和管理对于降低心血管发病率和死亡率至关重要。新的匈牙利高血压登记处的目的是评估全科医生(GP)的血压测量实践,门诊诊所的内科医生和心脏病专家,以及评估血压的季节性变化。
■OmronM3IT设备在2018年10月至2023年4月的四个月期间用于GP实践和高血压诊所。然后使用Omron的Medistance系统将血压数据从监视器袖口在线传输到中央数据库。
■家庭医生(n=2491),内科医生/心脏病学家(n=477)参与了这项研究.在10个四个月的评估期间,共进行了4804821次血压测量。在十个时期,每日平均测量次数为3.0~5.6次.按照ESH诊断标准,最优受试者的比例,正常和高正常血压类别分别为14%,13.4%和16.7%,分别。总共有56%的测量属于1期,2期或3期高血压类别(31.6、17.1和7.4%,分别)。平均而言,在收缩压和舒张压的冬季和夏季数据之间观察到5/2mmHg的差异,分别。超过2000名患者的GP实践中的平均收缩压值高于少于1500名患者的平均收缩压值(141.86mmHg对140.02mmHg,p<0.05)。
■总而言之,每日平均血压测量次数较低,表明匈牙利家庭医生的血压筛查意识/能力有限.在有更多患者的全科医生实践中,血压通常控制得不好。这些结果表明,进一步推广家庭血压监测是必要的。背景是什么?诊断高血压和控制高血压患者治疗效果的标准方法是办公室血压测量。到目前为止,我们还没有关于全科医生(GP)血压测量实践的真实数据,内科医生和心脏病学家。尽管血压值的季节性差异是众所周知的,我们没有关于这些变化程度的数据。什么是新的?在这个现实世界中,全国性的观察性研究我们能够在全科医生的日常实践中测量血压测量的频率,匈牙利的内科医生和心脏病学家,与他们治疗的患者数量相比,这是非常低的。在更多患者的实践中,血压通常控制得不好。我们还可以在观察到的时间段内检测到收缩压和舒张压值的显着季节性变化。影响是什么?每天平均血压测量次数低表明匈牙利家庭医生的血压筛查意识/能力有限,支持进一步推广家庭血压测量。我们的研究表明,明显的季节性血压变化需要注意,并需要在不同季节对治疗进行个人调整。
UNASSIGNED: Hypertension is a major public health problem, thus, its timely and appropriate diagnosis and management are crucial for reducing cardiovascular morbidity and mortality. The aim of the new Hungarian Hypertension Registry is to evaluate the blood pressure measurement practices of general practitioners (GPs), internists and cardiologists in outpatient clinics, as well as to assess the seasonal variability of blood pressure.
UNASSIGNED: Omron M3 IT devices were used during four-month periods between October 2018 and April 2023 in GP practices and in hypertension clinics. The blood pressure data were then transmitted online from the monitors\' cuffs to a central database using the Medistance system of Omron.
UNASSIGNED: Family physicians (n = 2491), and internists/cardiologists (n = 477) participated in the study. A total of 4804 821 blood pressure measurements were taken during 10 four-month evaluation periods. In the ten periods, the daily average number of measurements was between 3.0 and 5.6. Following ESH diagnostic criteria, the proportion of subjects in optimal, normal and high-normal blood pressure categories were 14, 13.4 and 16.7%, respectively. Altogether 56% of the measurements belonged to stage 1, stage 2 or stage 3 hypertension categories (31.6, 17.1 and 7.4%, respectively). On average, a difference of 5/2 mmHg was observed between winter and summer data in systolic and diastolic blood pressures, respectively. The average systolic blood pressure values were higher in GP practices with more than 2000 patients than in the ones with less than 1500 patients (141.86 mmHg versus 140.02 mmHg, p < 0.05).
UNASSIGNED: In conclusion, the low daily average number of blood pressure measurements indicates a limited blood pressure screening awareness/capacity in the case of Hungarian family physicians. In GP practices with more patients, blood pressure is usually less well-controlled. These results suggest that the further promotion of home blood pressure monitoring is necessary.
What is the background?The standard method for the diagnosis of hypertension and for the control of treatment efficacy in hypertensive patients is office blood pressure measurement.Until now we had no real-life data on the blood pressure measurement practices of general practitioners (GPs), internists and cardiologists.Although seasonal differences in blood pressure values are well known, we had no data on the extent of these changes.What is new?In this real-world, nationwide observational study we were able to measure the frequency of blood pressure measurements in the daily practice of GPs, internists and cardiologists in Hungary, which was found to be very low compared to the number of patients they treat. In practices with more patients, blood pressure is generally less well-controlled.We could also detect a significant seasonal variation in systolic and diastolic blood pressure values over the observed time periods.What is the impact?The low daily average number of blood pressure measurements indicates a limited blood pressure screening awareness/capacity in the case of Hungarian family physicians, supporting the further promotion of home blood pressure measurement.The marked seasonal blood pressure changes demonstrated by our study require attention and the individual adjustment of treatment in different seasons.