Abstract:
OBJECTIVE:To find the prevalence of orthostatic hypotension (OH) and associated factors in elderly hypertensive patients in a primary care setting. DESIGN:Descriptive cross-sectional study. SETTING:La Marina Health Centre (an urban centre in Santander). PATIENTS:A random sample of 295 patients aged 65 years or older regularly assisted from hypertension. MEASUREMENTS AND MAIN RESULTS:Measurements of sitting and standing blood pressure were obtained. Orthostatic hypotension was defined as 20 mmHg or greater decrease in systolic or 10 mmHg or greater decrease in diastolic blood pressure after 1-minute or 5-minute standing. Associated diseases, symptoms upon standing, medication use, habits and other clinical assessments were also recorded. The prevalence of OH was 14.6%. The prevalence of systolic OH after 1-minute (OH-S1) and after 5-minute (OH-S5) standing was 5.8% in both, and the diastolic OH was 5.1% after 1-minute (OH-D1) and 4.1% after 5-minute (OH-D5) standing. By logistic regression analysis, association between higher level of systolic blood pressure and global OH was found, also with the presence of orthostatic intolerance symptoms (although only 25.6% of the patients with OH showed symptoms) and smoking. Beta-blockers and calcium channel blockers (different from dihydropyridines) use was associated with OH after 1-minute standing and smoking with OH after 5-minute standing. CONCLUSIONS:The detected prevalence is high and justifies the case finding of OH in elderly hypertensive patients in primary care. The symptoms of orthostatic intolerance are correlated with OH, but only 1 out of 4 patients showed symptoms. Smoking could be related with OH, so beta-blockers and calcium channel blockers (different from dihydropyridines) use.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Vara González L,Domínguez Rollán R,Fernández Ruiz M,Josa Fernández B,Ruiz Izquierdo F,Zabalo Amézqueta A,Muñoz Cacho Pdoi
10.1016/s0212-6567(01)78924-xsubject
Has Abstractpub_date
2001-07-01 00:00:00pages
151-7issue
3eissn
0212-6567issn
1578-1275pii
S0212-6567(01)78924-Xjournal_volume
28pub_type
杂志文章abstract:OBJECTIVE:To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78945-7
更新日期:2001-09-15 00:00:00
abstract:OBJECTIVE:To discover the perception of health, social support and family function for asymptomatic HIV carriers. DESIGN:This was an observation crossover study, using validated questionnaires. SETTING:Almanjayar and Cartuja Health Centres in Granada. PATIENTS AND OTHER PARTICIPANTS:58 HIV+ patients belonging to the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-03-15 00:00:00
abstract:AIM:To analyze if breast-feeding (BF) is a protective factor against infectious diseases. DESIGN:Case-control study. Retrospective study during 1998. SETTING:Primary care. Teaching health center. Population of 22,500 inhabitants. PATIENTS:We consider an alpha risk of .05 and a beta risk of .20, unilateral hypothesis...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13071939
更新日期:2005-02-28 00:00:00
abstract:OBJECTIVE:To assess the frequency of migraines attributable to continuous consumption of analgesics. DESIGN:A longitudinal prospective study of a descriptive type. SETTING:A specialised Neurology Clinic within a County hospital, which provides the Primary Care coverage for ibiza and Formentera. PATIENTS:All those pa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-06-15 00:00:00
abstract:OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title:Atencion primaria
pub_type: 杂志文章
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更新日期:2001-03-31 00:00:00
abstract:OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:
更新日期:1996-06-30 00:00:00
abstract:OBJECTIVES:To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS:258 pat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13071040
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78635-5
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation. DESIGN:Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-02-29 00:00:00
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journal_title:Atencion primaria
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更新日期:2010-01-01 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-05-31 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13075926
更新日期:2005-06-15 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-09-30 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
pub_type: 杂志文章
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更新日期:1997-09-30 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
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更新日期:2003-11-30 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.09.030
更新日期:2011-12-01 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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更新日期:1998-07-01 00:00:00
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journal_title:Atencion primaria
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doi:10.1157/13120588
更新日期:2008-05-01 00:00:00
abstract::Recognizing the clinical heterogeneity of COPD suggests a specific therapeutic approach directed by the so-called clinical phenotypes of the disease. The Spanish COPD Guidelines (GesEPOC) is an initiative of SEPAR, which, together with the scientific societies involved in COPD patient care, and the Spanish Patient For...
journal_title:Atencion primaria
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journal_title:Atencion primaria
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journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-11-15 00:00:00
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journal_title:Atencion primaria
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doi:10.1157/13086703
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journal_title:Atencion primaria
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doi:
更新日期:1999-06-30 00:00:00
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journal_title:Atencion primaria
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journal_title:Atencion primaria
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doi:
更新日期:1994-02-28 00:00:00
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