[Initial management of hypertension in a primary care service].
The management of hypertension in Switzerland follows the Guidelines of the European Society of Hypertension and Cardiology (ESH-ESC 2003). The aim of our survey was to evaluate to what extent initial check-up and determination of the absolute cardiovascular risk of hypertensive patients are performed by residents of a medical outpatient clinic. Hypertension is a very frequent condition in this kind of consultation, 1 patient in 3 being treated for a high blood pressure. Despite of this, the initial evaluation of the absolute cardiovascular risk is not performed in accordance with the guidelines. The assessment of diabetes or dyslipidemia and the search for target organ damage are not systematically done, even in case of high blood pressure values (grade I-III).
Nardo
P
P
Service d'endocrinologie, diabétologie et nutrition, HUG, 1211 Genève 14.
Bovier
P
P
Pechère-Bertschi
A
A
D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005069:Evaluation Studies as Topic; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000178:diet therapy / Q000188:drug therapy* / Q000453:epidemiology; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011320:Primary Health Care; D018570:Risk Assessment; D012307:Risk Factors; D012955:Societies, Medical; D013557:Switzerland / Q000453:epidemiology
D000959:Antihypertensive Agents; D004232:Diuretics