Antihypertensive treatment and its implications on lipoprotein metabolism of patients in care by a hypertension and diabetes program in Brazil.

Abstract:

:Multiple risk factors for cardiovascular disorders, particularly hypercholesterolemia, are often present in hypertensive patients. Several studies have shown that antihypertensive drugs affect the lipid profile, increasing the risk of cardiovascular diseases. Here, it was investigated the lipoprotein metabolism alterations in a group of hypertensive patients in care by the Hypertension and Diabetes Program of a public hospital in Fortaleza-CE/Brazil. In this study, one hundred sixty nine serum samples from hypertensive patients (32-87 years old) under antihypertensive therapy were analyzed. Triglycerides, total cholesterol, cholesterol from high density lipoprotein (HDL) and from low density lipoprotein (LDL) serum levels were determined by enzymatic colorimetric method and AI and B apolipoproteins by immunoturbidimetric assay. The population enrolled was predominantly women (73.13%) and from these, 33.53% taking the monotherapy regimen, used angiotensin converting enzyme inhibitors (ACE-I). However, in combined therapy (66.47%) the most used drugs were the diuretics, especially in prescriptions associated to ACE-I. It was also observed that patients taking diuretics in monotherapy regimen showed significant effects in their serum lipid concentrations of lipids, in contrast with individuals taking combined therapy, which had no expressive alterations in their lipid profile. Theses results suggest that the antihypertensive therapy must be associated to a lipid monitoring process.

journal_name

Acta Med Port

journal_title

Acta medica portuguesa

authors

Martins RD,Alves Rde S,Silva GG,Martins N,Vasconcelos S,Assreuy A,Martins A,Goretti Queiroz M

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

567-74

issue

6

eissn

0870-399X

issn

1646-0758

journal_volume

21

pub_type

杂志文章
  • [Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities].

    abstract::Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparatus. We present a case re...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Teixeira T,Vieira M,Bastos M,Santos JA

    更新日期:2010-09-01 00:00:00

  • [Painful scalp ulcers].

    abstract::Temporal arteritis is a systemic vasculitis mainly affecting large and medium sized vessels, temporal artery in particular. The authors report the case of a male who presented with large painful scalp ulcers over the temporo-parietal area, ipsilateral headache, amaurosis fugax and jaw claudication. Temporal arteries w...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Cunha D,Freitas I,Neta J,Lamarão P,Cardoso J

    更新日期:2010-03-01 00:00:00

  • Bilateral Deep Vein Thrombosis Associated with Inferior Vena Cava Agenesis in a Young Patient Manifesting as Low Back Pain.

    abstract::Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.7744

    authors: Langer F,Dos Santos D,Suertegaray G,Haygert C

    更新日期:2017-04-28 00:00:00

  • Effects of Acute Sleep Deprivation Resulting from Night Shift Work on Young Doctors.

    abstract:INTRODUCTION:To evaluate sleep deprivation and its effects on young physicians in relation to concentration capacity and psychomotor performance. MATERIAL AND METHODS:Eighteen physicians aged 26 - 33 years were divided into 2 groups: non-sleep deprived group (with no night work) and sleep deprived group (minimum 12 ho...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.5777

    authors: Sanches I,Teixeira F,dos Santos JM,Ferreira AJ

    更新日期:2015-07-01 00:00:00

  • [Ethics, knowledge and psychiatry: in Aulus Cornelius Celsus' De Medicina].

    abstract::Modern medicine has many roots on greco-roman practice of the medical art. The authors analyse the work De Medicina by Aulus Cornelius Celsus. They look upon the nature of the medical knowledge, the principles of ethics, causality and describe the mental disorders (phrenitis, depression, third insanity, seizure disord...

    journal_title:Acta medica portuguesa

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Trancas B,Borja Santos N

    更新日期:2007-09-01 00:00:00

  • [Wernicke Encephalopathy: the importance of the diagnosis].

    abstract::Wernicke Encephalopathy (WE) is a severe neurological disease caused by vitamin B1 (thiamine) deficiency, which is potentially treatable if early diagnosed. This is the clinical case of a young female patient, with renal insufficiency on haemodialysis, who has been submitted to an abdominal surgery. After the interven...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Ramos CG,Pereira C

    更新日期:2006-11-01 00:00:00

  • [Peritoneal Dialysis in the First Two Years of Life: Experience of a Nephrology and Renal Transplantation Pediatric Unit].

    abstract:INTRODUCTION:Peritoneal dialysis is the dialytic method of choice in chronic end-stage renal disease in children. This study main purpose was to characterize the long-term survival of a pediatric population who began peritoneal dialysis within the first two years of life. MATERIAL AND METHODS:A descriptive and retrosp...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.6913

    authors: Deuchande S,Mano T,Novais C,Machado R,Stone R,Almeida M

    更新日期:2016-09-01 00:00:00

  • [Mucocutaneous pathology in HIV infection].

    abstract::Several infectious, neoplastic or inflammatory skin diseases, may be early manifestations of HIV infection. We reviewed the clinical data of 226 HIV seropositive male patients with cutaneous disease, from a total of 337 inpatients at the Infectious Diseases Unit--Department of Medicine 1--Curry Cabral Hospital, from 1...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Lamarão P,Eliseu T,Castro H,Maltez F,Machado J,Morgado A,Proença R

    更新日期:1994-03-01 00:00:00

  • [Reactive arthritis caused by Giardia lamblia in a patient with secretory IgA deficiency].

    abstract::The authors report a case of seronegative polyarthritis resistant to the anti-inflammatory therapy in a 16-year-old male with intermittent diarrhea. A stool examination showed the presence of cysts of Giardia lamblia and an immunological study detected a partial serum IgA deficiency, including its secretory fraction. ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Susano RC,de Quirós JF,Caminal L,Ferro J,Busono C,Gómez C

    更新日期:1993-12-01 00:00:00

  • [The radiotherapy of advanced breast cancer].

    abstract::The authors discuss the indications for radiotherapy in late breast cancer, retrospectively analysing the experience of the Radiotherapy Department of the Portuguese Institute of Oncology in Lisbon. Treatment results of locally advanced cancer (T4a-b-c) with megavoltage machines (telecobalt therapy) using two differen...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Patrício MB,Pereira ME,Ramos J,Neves M

    更新日期:1993-05-01 00:00:00

  • Safety and Effectiveness of Cataract Surgery with Simultaneous Intravitreal Anti-VEGF in Patients with Previously Treated Exudative Age-Related Macular Degeneration.

    abstract:INTRODUCTION:To evaluate the safety and impact on visual acuity, retinal and choroidal morphology of simultaneous cataract surgery and intravitreal anti-vascular endothelial growth factor on patients with visually significant cataracts and previously treated exudative age-related macular degeneration. MATERIAL AND MET...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.7850

    authors: Falcão MS,Freitas-Costa P,Beato JN,Pinheiro-Costa J,Rocha-Sousa A,Carneiro Â,Brandão EM,Falcão-Reis F

    更新日期:2017-02-27 00:00:00

  • [Radiotherapy-induced pemphigus].

    abstract::The authors report the clinical case of a woman exposed to ionizing radiotherapy, for the treatment of breast carcinoma, in whom a pemphigus lesion developed within the area of irradiation. This is, to the authors' knowledge, the 14th case of ionizing radiation-induced pemphigus. ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Correia MP,Santos D,Jorge M,Coutinho S

    更新日期:1998-06-01 00:00:00

  • Venous thromboembolism risk factors and practices of prophylaxis: ENDORSE study results in Portugal.

    abstract:BACKGROUND:Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: França A,Reis A,Paulino A,Lohman C,Cartucho D,Campello G,Morais L,Moreira P,Abreu R,Abreu T,ENDORSE Investigators.

    更新日期:2011-11-01 00:00:00

  • Molecular genetic studies of multiple sclerosis in the portuguese population.

    abstract::Multiple sclerosis (MS) is a chronic neuroinflammatory autoimmune disease believed to arise from complex interactions of both environmental and genetic factors. As in other complex diseases with autoimmune features, a genetic association with the human leukocyte antigen (HLA) complex is well documented. Association...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Bettencourt A,Martins da Silva A,Pinho E Costa P,Martins Silva B

    更新日期:2012-07-01 00:00:00

  • [Microlithiasis and testicular tumour].

    abstract::Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Coelho R,Brito MJ,Casella P,Bragança G,Machado MC

    更新日期:2005-11-01 00:00:00

  • [Preschool Children's Emotional Understanding of Death: A Forgotten Dimension].

    abstract:INTRODUCTION:Scientific evidence regarding children's understanding of the concept of death is scarce. This has recently been pointed out by the International Children's Palliative Care Network as a priority area of research. In particular, the avoidance of emotion in this area of research is an important shortcoming. ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.12815

    authors: Silva FM,Lopes AF,Carneiro V,Campelo Á

    更新日期:2020-10-01 00:00:00

  • [Current knowledge on major complications after whole brain radiotherapy or radiosurgery].

    abstract::Brain radiotherapy aims at controlling the pathological lesion(s) as well as avoiding damaging critical structures. However, side effects may occur. Neurocognitive function is often involved impairing quality of life. This dysfunction is among the most frequent complications of brain irradiation. Sparing as much as fe...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Amaral F

    更新日期:2010-01-01 00:00:00

  • [Disciplinary Actions in Gynecology and Obstetrics in the North of Portugal from Year 2008 to 2012].

    abstract:INTRODUCTION:Disciplinary actions may have a significant impact in medical doctors' and patients' lives. The objective of this study was the assessment of the disciplinary actions in Obstetrics and Gynecology that occurred in the north of Portugal in years 2008 to 2012. MATERIAL AND METHODS:Retrospective descriptive s...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Silva F,Rodrigues E Rodrigues M,Bernardes J

    更新日期:2015-03-01 00:00:00

  • [Bacterial meningitis. A rare cause].

    abstract:BACKGROUND:Meningitis is an uncommon clinical manifestation of invasive infection by Streptococcus pyogenes. CASE REPORT:A four years-old female child, previously healthy, started a history of high fever, associated to right otorrhea, prostration and vomiting. On admission she was haemodynamically stable but prostrate...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Bacalhau S,Zarcos MM,Rezende T

    更新日期:2011-12-01 00:00:00

  • [Hidradenitis Suppurativa: Combined Treatment with Dermal Template, Skin Graft and Negative Pressure Wound Therapy, a Case Study].

    abstract::Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to de...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.8656

    authors: Ribeiro LM,Guerra AS

    更新日期:2018-01-31 00:00:00

  • [Diffuse Intraparenchymal Mesothelioma: An Atypical Presentation].

    abstract::Pleural mesothelioma is a disease associated with exposure to asbestos. Although rare, it is the most common malignant pleural neoplasm. It is difficult to diagnose and it has a poor prognosis. We report the case of a 62-year-old male patient with a history of prolonged occupational exposure to asbestos, with dyspnea ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.11406

    authors: Pais A,Pinto N,Cardoso J,Fernandes M,Coutinho AI,Oliveira AS,Carvalho L,Bárbara C

    更新日期:2020-02-03 00:00:00

  • [Effect of aluminum on the non-enzymatic oxidation of dopamine].

    abstract::The effect of different concentrations of aluminum sulphate on the nonenzymatic oxidation of dopamine was studied in order to evaluate the action of this metal on neuromelanin synthesis. Data shows that under the studied conditions, aluminum partially inhibits dopamine self-oxidation, decreasing the formation of some ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Marinho CR,Manso CF

    更新日期:1994-11-01 00:00:00

  • [Diabetic nephropathy: glomerular filtration rate and estimated creatinine clearance].

    abstract:OBJECTIVE:To assess in diabetic nephropathy, the accuracy of estimated creatinine clearance (calculated with the Cockroft Gault formula) and the clearance of the Tc99m-DTPA, to measure the glomerular filtration rate (GFR). PATIENTS AND METHODS:We analysed the GFR measure by Tc99m-DTPA method and the estimated by the C...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Guimarães J,Bastos M,Melo M,Carvalheiro M

    更新日期:2007-03-01 00:00:00

  • [Two Scabies Outbreaks at a Tertiary Care Hospital in Portugal].

    abstract:INTRODUCTION:Scabies outbreaks in healthcare institutions are an emerging problem. To determine the best management strategy is a topical matter. We analyzed two hospital scabies outbreaks and reviewed the management strategy of institutional scabies outbreaks. MATERIAL AND METHODS:We performed an observational retros...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.12840

    authors: Gomes N,Guedes PM,Norton P,Azevedo F,Lisboa C

    更新日期:2020-12-02 00:00:00

  • [Unsuspected meningococcal disease].

    abstract:INTRODUCTION:Meningococcal disease has a wide spectrum of clinical presentation. Occult bacteremia is not easily diagnosed and may have good prognostic. CLINIC REPORT:Three year-old African boy with fever, gonalgia and gait disorder with 24 hours of evolution. Observation was unremarkable. He presented leukocytosis (2...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Coelho R,Brito MJ

    更新日期:2006-03-01 00:00:00

  • [Opioids for Cancer Pain and its Use under Particular Conditions: A Narrative Review].

    abstract:INTRODUCTION:All health professionals should be aware of the importance of evaluating pain - fifth vital sign- in cancer patients. Peripheral and central acting analgesics are widely used to treat moderate to severe pain, particularly cancer pain. Many guidelines have addressed this issue. However, real life patients' ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:10.20344/amp.10500

    authors: Vieira C,Brás M,Fragoso M

    更新日期:2019-05-31 00:00:00

  • [Tuberculosis and hypercalcemia].

    abstract::The authors present a case of disseminated tuberculosis in a patient under dialysis with endstage renal disease. Fever, nocturnal sweating, anorexia, asthenia, ascites, lymph node involvement and granulomatous involvement of the bone marrow were observed. In the twenty nine months of renal failure which preceded the b...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Santos JM,Monteiro P,Fortes A,Silva E,Barbosa MA,da Palma-Carlos AG

    更新日期:1996-07-01 00:00:00

  • [Mitochondrial encephalomyopathies].

    abstract::Mitochondrial Encephalomyopathies are primary disorders of energy metabolism recently described. They are the result of mitochondrial abnormalities with a wide spectrum of syndromes implying a multisystemic but predominantly muscular and cerebral involvement. Biochemical, histological, imagiologic and clinical feature...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Almeida R,Sena A,Gonçalves M

    更新日期:1994-06-01 00:00:00

  • [Chronic eosinophilic pneumonia].

    abstract::Idiopathic chronic eosinophilic pneumonia (ICEP) is a rare disorder of unknown cause, associated with intense and abnormal eosinophilic lung infiltration. Most cases occur in patients with prior history of atopy and asthma. It is characterized by subacute or chronic presentation, alveolar and blood eosinophilia and pe...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Bento J,Botelho C,Souto Moura C,Morais A

    更新日期:2010-11-01 00:00:00

  • Omental infarction: a reappraisal of conservative management in children.

    abstract:INTRODUCTION:Accurate recognition of omental infarction has resulted in increasing supporters of non-operative approach. In order to assess the efficacy and safety of conservative management, we surveyed the cases of omental infarction treated at a single institution. MATERIAL AND METHODS:Primary omental infarction tr...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.4996

    authors: Estevão-Costa J,Alvarenga AS,Fragoso AC,Garcia M,Campos M

    更新日期:2014-07-01 00:00:00