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Optimal blood press...
Optimal blood pressure control after coronary events : the challenge remains
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- Sverre, Elise (författare)
- Vestre Viken Trust, Norway;Univ Oslo, Norway
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- Peersen, Kari (författare)
- Vestfold Hosp Trust, Norway
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- Otterstad, Jan Erik (författare)
- Vestfold Hosp Trust, Norway
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- Gullestad, Lars (författare)
- Univ Oslo, Norway
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- Perk, Joep, 1945- (författare)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV)
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- Gjertsen, Erik (författare)
- Vestre Viken Trust, Norway
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- Mourn, Torbjorn (författare)
- Univ Oslo, Norway
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- Husebye, Einar (författare)
- Vestre Viken Trust,Norway
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- Dammen, Toril (författare)
- Univ Oslo, Norway
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- Munkhaugen, John (författare)
- Vestre Viken Trust, Norway
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(creator_code:org_t)
- Elsevier, 2017
- 2017
- Engelska.
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Ingår i: Journal of the American Society of Hypertension. - : Elsevier. - 1933-1711 .- 1878-7436. ; 11:12, s. 823-830
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- We identified sociodemographic, medical, and psychosocial factors associated with unfavorable blood pressure (BP) control in 1012 patients, hospitalized with myocardial infarction and/or a coronary revascularization procedure. This cross-sectional study collected data from hospital records, a comprehensive self-report questionnaire, clinical examination, and blood samples after 2-36 (mean 17) months follow-up. Forty-six percent had unfavorable BP control (>= 140/90 [80 in diabetics] mm Hg) at follow-up. Low socioeconomic status and psychosocial factors did not predict unfavorable BP control. Patients with unfavorable BP used on average 1.9 (standard deviation 1.1) BP-lowering drugs at hospital discharge, and the proportion of patients treated with angiotensin inhibitors and beta-blockers decreased significantly (P < .001) from discharge to follow-up. Diabetes (odds ratio [OR] 2.4), higher body mass index (OR 1.05 per 1.0 kg/m(2)), and older age (OR 1.04 per year) were significantly associated with unfavorable BP control in adjusted analyses. Only age (standardized beta [beta] 0.24) and body mass index (beta 0.07) were associated with systolic BP in linear analyses. We conclude that BP control was insufficient after coronary events and associated with obesity and diabetes. Prescription of BP-lowering drugs in hypertensive patients seems suboptimal. Overweight and intensified drug treatment thus emerge as the major factors to target to improve BP control. (C) 2017 American Society of Hypertension. All rights reserved.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Antihypertensive treatment
- medical factors
- psychosocial factors
- secondary prevention
- Omvårdnad
- Nursing
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Sverre, Elise
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Peersen, Kari
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Otterstad, Jan E ...
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Gullestad, Lars
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Perk, Joep, 1945 ...
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Gjertsen, Erik
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visa fler...
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Mourn, Torbjorn
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Husebye, Einar
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Dammen, Toril
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Munkhaugen, John
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Journal of the A ...
- Av lärosätet
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Linnéuniversitetet