Document Detail


Analysis of the prescription of captopril to hospitalized patients.
MedLine Citation:
PMID:  19142365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One of the most common complications of Systemic Arterial Hypertension is the hypertensive crisis(1) characterized by a symptomatic elevation of blood pressure (BP) with or without involvement of target organs, which may lead to immediate or potential risk to life. The hypertensive crisis may manifest itself as hypertensive emergency or urgency. In the emergency there is fast deterioration of target organs and immediate risk to life, a situation that does not occur in hypertensive urgency. On the other hand, situations in which the patient presents elevated BP due to an emotionally charged, painful or uncomfortable event, with no evidence of lesion of target organs or immediate risk to life, characterize the hypertensive pseudo-crisis, a condition that does not require the use of emergency antihypertensive therapy. Despite this fact, the practice has become widespread of prescribing antihypertensive medication prior to situations believed to present a risk of abrupt BP elevation, irrespective of the symptoms. This study aims at assessing the frequency of prescription of captopril prior to BP elevation in patients hospitalized in a university hospital. It was also intended to map the places (clinical or surgical wards) where this procedure was more frequent.
Authors:
Márcio Galvão Oliveira; Antônio Carlos Beisl Noblat; Lúcia Noblat; Luiz Carlos Passos
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arquivos brasileiros de cardiologia     Volume:  91     ISSN:  1678-4170     ISO Abbreviation:  Arq. Bras. Cardiol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-14     Completed Date:  2009-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421031     Medline TA:  Arq Bras Cardiol     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  383-4     Citation Subset:  IM    
Affiliation:
Complexo Hospitalar Universitário Prof. Edgard Santos, Salvador, BA - Brazil. mgalvao@ufba.br
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / administration & dosage*
Blood Pressure / physiology
Captopril / administration & dosage*
Epidemiologic Methods
Hospitalization*
Humans
Hypertension / diagnosis,  drug therapy*,  prevention & control
Patients' Rooms / statistics & numerical data
Perioperative Nursing / statistics & numerical data
Prescription Drugs / administration & dosage*
Risk-Taking
Time Factors
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Prescription Drugs; 62571-86-2/Captopril

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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