Attitudes and preferences for the clinical management of patients with hypertension and hypertension with chronic obstructive pulmonary disease in Italy: main results of a survey questionnaire

作者：Tocci Giuliano^*; Cicero Arrigo F; Salvetti Massimo; Passerini Jasmine; Musumeci Maria Beatrice; Ferrucci Andrea; Borghi Claudio; Volpe Massimo

来源：Internal and Emergency Medicine, 2015, 10(8): 943-954.

DOI：10.1007/s11739-015-1256-y

• Hypertension management
• Hypertension control
• Blood pressure control
• Chronic obstructive pulmonary disease
• Observational study
• Clinical survey

Hypertension treatment and control represent a clinical challenge, particularly in case of concomitant risk factors and comorbidities, including chronic obstructive pulmonary disease (COPD). To evaluate attitudes and preferences for the clinical management of hypertension and hypertension associated with COPD by a large community sample of physicians in Italy. A predefined 18-item survey questionnaire was anonymously administered to both specialised physicians (SPs) and general practitioners (GPs), who have been included in an educational programme, performed between January and June 2014. A total of 1181 physicians (767 males, mean age 55.8 +/- A 7.3 years, average age of medical activity 27.6 +/- A 8.3 years), among whom 64 (5.4 %) SPs and 1117 (94.6 %) GPs, provided 21,809 valid answers to the survey questionnaire. Concomitant presence of hypertension and COPD was frequently associated (21-40 %) with hypertension-related organ damage and comorbidities. Concomitant presence of hypertension and COPD was able to affect physicians' ability to achieve the recommended therapeutic targets. To achieve the recommended BP goals, ACE inhibitors or ARBs were considered the most effective antihypertensive strategies, both in monotherapies and in combination therapies with either diuretics or calcium-channel blockers. This observational, cross-sectional survey provides useful information on physicians' attitudes and preferences for the clinical management of patients with hypertension and hypertension associated with COPD.

• 出版日期2015-12