Arterial hypertension is one of the most common condition encountered in everyday clinical practice. Its being asymptomatic does not make the task easy for the physician to obtain an optimal control even in patient already under treatment. The disease tends to progress, so that treatment must be often adapted individually to each patient. As we know hypertension is a multi-factorial condition, where lifestyle habits, for example lack of physical activity or irregular diet, life situation or circumstances, or a certain genetic predisposition can all play a role in the pathogenesis of this condition. Only it is difficult to assess on an individual basis how much each factor has an impact on each patient, and to which extent it affects the blood pressure. Nowadays there methods of course to assess if a patient has his or her blood pressure under control or not, like for example blood pressure diaries but in my project I tried to find out whether there are means that can point to a lack of blood pressure control in patients under treatment for hypertension before recurring to this methods. Ideally a blood pressure diary should be the easiest to obtain, since already from diagnosis of arterial hypertension each patient should be able to keep as regularly as possible a diary of the blood pressure. Unfortunately this is only a rare case, rather than a rule, for many reasons, which I have not investigated in this project and could only imagine. This is why I am investigating the ability of two tests, 8-MMAS and BIPQ, to individuate patients under anti-hypertensive treatment with poorly controlled blood pressure despite treatment. In my study none of the life style habits correlated to controlled vs. uncontrolled hypertension, nor did any of the two tests, 8-MMAS and BIPQ. This can be due to several reasons, among which the small size of the sample I managed to collect during my internship, or to the weak points of the questionnaire themselves. Nevertheless I think it would be optimal to repeat the study at regional level to investigate the outcome on a larger scale, and to see whether these results are reproducible, making them ineffective for the purpose I used them, or if they could really prove useful for everyday clinical life, particularly in family medicine settings.
Screening dell'ipertensione per mezzo di 8-MMAS e BIPQ, sviluppi presenti e futuri. Arterial hypertension is one of the most common condition encountered in everyday clinical practice. Its being asymptomatic does not make the task easy for the physician to obtain an optimal control even in patient already under treatment. The disease tends to progress, so that treatment must be often adapted individually to each patient. As we know hypertension is a multi-factorial condition, where lifestyle habits, for example lack of physical activity or irregular diet, life situation or circumstances, or a certain genetic predisposition can all play a role in the pathogenesis of this condition. Only it is difficult to assess on an individual basis how much each factor has an impact on each patient, and to which extent it affects the blood pressure. Nowadays there methods of course to assess if a patient has his or her blood pressure under control or not, like for example blood pressure diaries but in my project I tried to find out whether there are means that can point to a lack of blood pressure control in patients under treatment for hypertension before recurring to this methods. Ideally a blood pressure diary should be the easiest to obtain, since already from diagnosis of arterial hypertension each patient should be able to keep as regularly as possible a diary of the blood pressure. Unfortunately this is only a rare case, rather than a rule, for many reasons, which I have not investigated in this project and could only imagine. This is why I am investigating the ability of two tests, 8-MMAS and BIPQ, to individuate patients under anti-hypertensive treatment with poorly controlled blood pressure despite treatment. In my study none of the life style habits correlated to controlled vs. uncontrolled hypertension, nor did any of the two tests, 8-MMAS and BIPQ. This can be due to several reasons, among which the small size of the sample I managed to collect during my internship, or to the weak points of the questionnaire themselves. Nevertheless I think it would be optimal to repeat the study at regional level to investigate the outcome on a larger scale, and to see whether these results are reproducible, making them ineffective for the purpose I used them, or if they could really prove useful for everyday clinical life, particularly in family medicine settings.
Screening hypertension by means of 8-MMAS and BIPQ present and future developments
VERARDO, PAOLO
2018/2019
Abstract
Arterial hypertension is one of the most common condition encountered in everyday clinical practice. Its being asymptomatic does not make the task easy for the physician to obtain an optimal control even in patient already under treatment. The disease tends to progress, so that treatment must be often adapted individually to each patient. As we know hypertension is a multi-factorial condition, where lifestyle habits, for example lack of physical activity or irregular diet, life situation or circumstances, or a certain genetic predisposition can all play a role in the pathogenesis of this condition. Only it is difficult to assess on an individual basis how much each factor has an impact on each patient, and to which extent it affects the blood pressure. Nowadays there methods of course to assess if a patient has his or her blood pressure under control or not, like for example blood pressure diaries but in my project I tried to find out whether there are means that can point to a lack of blood pressure control in patients under treatment for hypertension before recurring to this methods. Ideally a blood pressure diary should be the easiest to obtain, since already from diagnosis of arterial hypertension each patient should be able to keep as regularly as possible a diary of the blood pressure. Unfortunately this is only a rare case, rather than a rule, for many reasons, which I have not investigated in this project and could only imagine. This is why I am investigating the ability of two tests, 8-MMAS and BIPQ, to individuate patients under anti-hypertensive treatment with poorly controlled blood pressure despite treatment. In my study none of the life style habits correlated to controlled vs. uncontrolled hypertension, nor did any of the two tests, 8-MMAS and BIPQ. This can be due to several reasons, among which the small size of the sample I managed to collect during my internship, or to the weak points of the questionnaire themselves. Nevertheless I think it would be optimal to repeat the study at regional level to investigate the outcome on a larger scale, and to see whether these results are reproducible, making them ineffective for the purpose I used them, or if they could really prove useful for everyday clinical life, particularly in family medicine settings.È consentito all'utente scaricare e condividere i documenti disponibili a testo pieno in UNITESI UNIPV nel rispetto della licenza Creative Commons del tipo CC BY NC ND.
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https://hdl.handle.net/20.500.14239/20534