Arq. Bras. Cardiol. 2023; 120(8): e20220863
National Registry of Hypertension Control Evaluated by Office and Home Measurements: The LHAR National Registry
Roberto Dischinger Miranda
, Andréa Araujo Brandão
, Weimar Kunz Sebba Barroso
, Marco Antonio Mota-Gomes
, Eduardo Costa Duarte Barbosa
, Lucio Paulo Ribeiro, Claudinelli Alvarenga Aguilar, Fabio Serra Silveira
, Cristiano de Melo Rangel Gomes, Abraham Epelman, Annelise Machado Gomes de Paiva
, Audes Diógenes Magalhães Feitosa
This Original Article is referred by the Short Editorial "The Journey Towards Hypertension Control in Brazil".
Abstract
Background
It is known that around 30% of patients have higher blood pressure (BP) values when examined at the office than at home. Worldwide, only 35% of patients with hypertension undergoing treatment have reached their BP targets.
Objective
To provide epidemiological data on BP control in the offices of a sample of Brazilian cardiologists, considering office and home BP measurement.
Methods
This is a cross-sectional analysis of patients with a hypertension diagnosis and undergoing antihypertensive treatment, with controlled BP or not. BP was assayed in the office by a medical professional and at home using home BP monitoring (HBPM). The association between categorical variables was verified using the chi-square test (p<0.05).
Results
The study included 2540 patients, with a mean age of 59.7 ± 15.2 years. Most patients were women (62%; n=1575). Prevalence rates of 15% (n=382) for uncontrolled white coat hypertension and 10% (n=253) for uncontrolled masked hypertension were observed. The rate of BP control in the office was 56.3% and at home, 61%. Meanwhile, 46.4% of the patients had controlled BP in and outside of the office. Greater control was observed in women and in the 49-61 years age group. Considering the new DBHA 2020 threshold for home BP control, the control rate was 42.4%.
Conclusion
BP control in the offices of a sample of Brazilian cardiologists was 56.3%; this rate was 61% when BP was measured at home and 46.4% when considering both the office and home.
1,446
