Hipertensão pseudo-resistente causada por farmacoterapia inapropriada do regime terapêutico

Abstract

Hypertension is a chronic disease characterized by high and sustained levels of blood pressure, with a prevalence of 30% in the adult population. Failure to control hypertension increases the risk of death from stroke and coronary heart disease and this lack is related to the pseudo-hypertension and / or resistant hypertension. Before making a diagnosis of resistant hypertension is necessary to rule out the possibility of so-called pseudo-resistant hypertension that could be related to the lack of adherence, failure in measurement technique, pharmacotherapy inappropiate and white coat syndrome. Of all these causes of hypertension, only a few studies related to pharmacotherapy inappropiate. This study aimed to determine the prevalence of pseudo-hypertension caused pharmacotherapy innapropiate in hypertensive population of Basic Health Unit Ib Gatto Falcão, the city of Maceió - Al. This is a cross-sectional study in which 162 patients were interviewed of both genders, hypertensive, using anti-hiperternsiva pharmacotherapy, over 18 years and have shown no cognitive problems. Data were collected in the Basic Health Unit through forms that in addition to antihypertensive pharmacotherapy, informed data on sociodemographic factors and adherence. Were also carried out the measurement of blood pressure and anthropometric measurements. Hypertension presented with higher prevalence aged between 50 and 59 years, female gender, low education and income. The adherence was 38.5% and the prevalence of patients with pseudoresistant hypertension was 12.8%. It can be concluded that the inertial inapropriação therapeutic pharmacotherapy was more predictive than the adherence prevalence of hipertensãopseudo -resistant.