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Características clínicas y terapia anti hipertensiva prescrita a pacientes externados de un hospital nacional de referencia

High Blood pressure (HBP) is one of the biggest public health problems. The mainstay of cardiovascular diseases, which represent the leading cause of death in Paraguay. Therefore, its optimal treatment is essential to decrease deaths and improve the quality of life of patients. The Central Hospital of the Instituto de Previsión Social is a national reference hospital where complex patients are treated. Methods: A cross-sectional descriptive observational study was carried out with no probabilistic sampling by consecutive cases. Including patients discharged with diagnosis of HBP. Results: two hundred twenty six patients were included. 52,2% were female. 22,5% had no previous diagnosis of high blood pressure. 39,8% suffered from heart failure, 34,1% had diabetes, 23,0% chronic kidney disease, 22,6% suffered from some type of neoplasm, 18,6% dyslipidemia, 31,9% with smoking history, 15,5% with history of previous stroke. Before hospital admission 47,7% used monotherapy, losartan was the most used drug. At hospital discharge monotherapy was indicated only in 21% of patients, combined therapy was the most prevalent. The second most associated drug was amlodipine. Conclusions: slight predominance of woman, the most frequent comorbidities were heart failure, diabetes mellitus, chronic kidney disease and neoplasms. Before admission, most patients used monotherapy whereas at hospital discharge the majority used combination therapy.



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Keywords: Essential Hypertension, Hospitalization Hipertensión Esencial, Hospitalización

ISSN: 2521-9596

EISSN: 2617-2852


EOI/DOI: https://doi.org/10.36003/Rev.i


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