Traduction en anglais : Hypertension in elderly and general practice : French clinicians attitudes.
The aim of the study was to assess the management of elderly hypertensives in general practice.
A sample of 2 727 general practitioners filled a specially designed questionnaire between February and March 1998 in France.
Areas covered by the questionnaire included risk of hypertension, blood pressure measurement and treatment.
Most respondents (97%) considered that hypertension remains a cardiovascular risk factor in elderly but 4% thought that hypertension is usefull by improving target organ perfusion.
Fifgty-five percent recorded both standing and supine measurement, 34% reported measuring blood pressure with patient supine only.
All respondents reported that they would start antihypertensive treatment on the basis of blood pressure level.
A minimum systolic level of 160 and 180 mmHg was given by 65% and 27% practioners respectively while 2% required a minimum level ranging from 139 to 149 mmHg.
Among the respondents who considered that isolated systolic hypertension is pathological (74%), 73% and 19% used 160 and 180 mmHg as cut-off, respectively.
Among those who considered that isolated systolic hypertension is physiological (23%), 43% and 46% initiated treatment above 160 and 180 mmHg, respectively.
A minimum diastolic level of 90 mmHg was reported by many respondents (61%) while 34% required a cut-off level of 100 mmHg. (...)
Mots-clés Pascal : Hypertension artérielle, Personne âgée, Homme, Diagnostic, Traitement, Epidémiologie, France, Europe, Médecine générale, Enquête, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Hypertension, Elderly, Human, Diagnosis, Treatment, Epidemiology, France, Europe, Internal medicine, Survey, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0456053
Code Inist : 002B12B05B. Création : 22/03/2000.