Document Detail

Arterial hypertension: a clinically relevant problem in physical medicine and rehabilitation?
MedLine Citation:
PMID:  22549652     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Arterial hypertension is the most frequently observed vascular risk factor. Physical and rehabilitative interventions may affect arterial blood pressure. The frequency of hypertensive patients in an outpatient clinic of physical medicine is unknown.
DESIGN: Prospective data collection.
PATIENTS: Overall, 3,826 patients admitted to the outpatient clinic for physical and rehabilitative interventions were included to assess arterial blood pressure, additional vascular risk factors, history of cardiovascular events and antihypertensive drug treatment.
METHODS: Arterial blood pressure was measured using an oscillometric method on the non-dominant arm. The patients were divided into sufficiently treated (< 140/90 mmHg, drug treatment), insufficiently treated (≥ 140/90 mmHg, drug treatment and history of hypertension) or de novo hypertensive patients (≥ 140/90 mmHg, no history of hypertension).
RESULTS: Arterial hypertension was observed in 48% of all patients (n = 1,840). In 719 (19%) of patients blood pressure above normal values. Due to significant hypertension 189 (5.2%) patients were either not permitted to start treatment or had to interrupt their physical treatment.
CONCLUSION: Insufficiently treated hypertension or previously undiagnosed hypertension is relatively common in a physical medicine clinic. We therefore recommend the implementation of arterial blood pressure measurement into the admission procedures in order to reduce such events.
Martin Nuhr; Veronika Fialka-Moser; Mohammad Keilani; Richard Crevenna; Michael M Hirschl
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  44     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-02     Completed Date:  2013-01-15     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  436-9     Citation Subset:  IM    
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MeSH Terms
Blood Pressure Determination
Body Mass Index
Chi-Square Distribution
Health Surveys
Hypertension / pathology*
Middle Aged
Physical Therapy Modalities*
Prospective Studies
Risk Factors
Time Factors
Treatment Outcome*

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

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