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1.
Pulzni tlak pri bolnikih z arterijsko hipertenzijo v Sloveniji
Marjetka Pal, Branimir Leskošek, Polonca Ferk, Jože Drinovec, Marjan Pajntar, 2011, izvirni znanstveni članek

Opis: Namen: Namen naše študije je bil določiti porazdelitev pulznega tlaka (PP), sistoličnega (SBP) in diastoličnega (DBP) krvnega tlaka v odvisnosti od spola in starosti ter ugotoviti odnos med PP, SBP in DBP. Analizirali smo podatke za 19972 bolnikov z arterijsko hipertenzijo v Sloveniji. Metode: Podatke o meritvah arterijskega krvnega tlaka (SBP, DBP) na nadlahti smo pridobili pri več kot 360 družinskih zdravnikih iz zdravstvenih kartotek bolnikov. Večino podatkov smo zbrali v obdobju 2002-2006. Rezultati: Povprečen PP je bil (71,2 +- 16,9) mmHg, povprečen SBP (172,8 +- 18,1) mmHg in povprečen DBP (101,6 +- 10,4) mmHg. Analiza z linearno regresijo je pokazala statistično značilno povezavo PP tako s starostjo (p < 0,001) kot tudi s spolom (p < 0,001). Pulzni tlak je naraščal s starostjo, pri moških in ženskah podobno. Ženske so imele statistično značilno višji PP (p < 0,001) kot moški v starostnem obdobju 35-65 let, razlika pa je bila manj izrazita po 80. letu starosti. Pulzni tlak je v črki U podobnem odnosu z DBP ter v skoraj linearnem odnosu s SBP. Zaključek: Rezultati naše študije kažejo, da je PP pri slovenskih bolnikih z arterijsko hipertenzijo odvisen tako od spola kot od starosti bolnika, na osnovi česar želimo spomniti na pomen upoštevanja PP pri načrtovanju antihipertenzivnega zdravljenja.
Ključne besede: pulse pressure, arterial hypertension, epidemiology, Slovenia
Objavljeno: 10.07.2015; Ogledov: 884; Prenosov: 11
URL Celotno besedilo (0,00 KB)

2.
Makroanevrizma retinalne arterije pri bolniku z arterijsko hipertenzijo
Dušica Pahor, Matejka Masten, Mojca Hudovernik, 2014, strokovni članek

Opis: Namen: Namen prispevka je prikazati primer bolnika z makroanevrizmo retinalne arterije ob neurejeni sistemski arterijski hipertenziji. Poročilo o primeru: 48-letni bolnik je bil sprejet na naš oddelek zaradi poslabšanja vidne ostrine desnega očesa. Navajal je dvojne slike in zamegljen centralni del vidnega polja. Sicer se je zdravil zaradi arterijske hipertenzije. Drugih zdravstvenih težav ni imel. Predstavljeni so klinični potek, diagnostični pristop in zdravljenje bolnika z makroanevrizmo retinalne arterije. Zaključek: Pri zdravljenju bolnika z makroanevrizmo retinalne arterije je pomemben celosten pristop. Za čim uspešnejši končni izid zdravljenja bolnikov je poleg zdravljenja očesne simptomatike potrebno tudi zdravljenje sistemskih dejavnikov tveganja. Za opredelitev natančne vloge laserske fotokoagulacije, intravitrealne aplikacije plina, kirurških vitreoretinalnih tehnik, uporabo Nd:YAG ali argon laserja in intravitrealne aplikacije anti-VEGF zdravil v zdravljenju makroanevrizme retinalne arterije bodo potrebne še dodatne raziskave.
Ključne besede: macroaneurysm, retinal haemorrhage, macular oedema, arterial hypertension
Objavljeno: 30.12.2015; Ogledov: 395; Prenosov: 19
URL Celotno besedilo (0,00 KB)
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3.
Evaluation of arterial hypertension control in family practice in Slovenia
Marjetka Pal, Branimir Leskošek, Marjan Pajntar, Polonca Ferk, 2014, izvirni znanstveni članek

Opis: Objective: We performed a study on almost 20,000 Slovene patients with arterial hypertension (AH) to evaluate age- and gender-dependent blood pressure control, differences in the rate of AH control in the period 2002-2008, and to validate a potential impact of selected quality indicators on blood pressure control. Methods: The study was conducted as a part of the "Quality of Healthcare in Slovenia" project, in agreement with the National Medical Ethics Committee of the Republic of Slovenia. Appropriate statistical analyses were performed and the results evaluated. Results: Arterial hypertension control was relatively high (55.8%, 95% CI: 55.1-56.5) in the period 2002-2008 and improved significantly during that period. Based on our statistical model, the improved AH control in year 2006 compared to 2002 is particularly due to lower initial blood pressure values before treatment. Uncontrolled AH was largely attributed to uncontrolled systolic blood pressure. We found positive association between AH control and the frequency of blood pressure control in less than six-month time intervals. Conclusions: According to our results, AH control in family practice in Slovenia is relatively high compared to other European countries, but the results refer only to patients visiting their family medicine physicians.
Ključne besede: arterial hypertension, epidemiology, treatment, quality indicators
Objavljeno: 10.05.2017; Ogledov: 274; Prenosov: 23
.pdf Celotno besedilo (250,99 KB)

4.
Health-related quality of life in paediatric arterial hypertension
Tadej Petek, Tjaša Hertiš, Nataša Marčun-Varda, 2018, izvirni znanstveni članek

Opis: Background: The prevalence of paediatric hypertension is increasing worldwide, especially due to the childhood obesity epidemic, and is an important public-health concern. While the Health-Related Quality of Life (HRQoL) was already shown to be impaired in the adult hypertensive population, a scarcity of data still exists on HRQoL in paediatric hypertensive patients. Our purpose was thus to assess the HRQoL of children and adolescents with arterial hypertension, using self- and proxy-reports, and to determine the correlations between child and parent questionnaire scores. Methods: The Paediatric Quality of Life Inventory™ 4.0 Generic Core Scales were administered via post to children and adolescents, aged 5-18 years, with primary or secondary arterial hypertension and parents as proxy-reports. Patients were recruited from a paediatric nephrology unit in a tertiary hospital, using an out-patient clinic visit registry. Healthy school children and adolescents from a local primary school, aged 6 to 15 years, and their parents formed the control group. HRQoL group comparisons were calculated with independent samples t-test and child-parent correlations with the Pearson’s r correlation coefficient. Results: In total we recruited 139 patient and 199 control group participants as self- and proxy-reports. Scores from self- as well as proxy-reports indicated a significantly lower overall HRQoL in the paediatric hypertensive population (95% CI for mean score difference: − 11.02, − 2.86 for self- and − 10.28, − 2.67 for proxy-reports; p = .001). In self-reports, lower physical (95% CI: -13.95, − 4.89; p = <.001), emotional (95% CI: -12.96, − 2.38; p = .005), school (95% CI: -11.30, − 0.42; p = .035), and psychosocial functioning scores were observed (95% CI: -10.34, − 1.89; p = .005). Parent proxy-reports were lower in physical (95% CI: -14.31, − 5.39; p = <.001), emotional (95% CI: -12.39, − 2.60; p = .003) and psychosocial scores (95% CI: -9.36, − 1.34; p = .009). Pearson’s r values ranged between 0.62 to 0.79 in patient and 0.56 to 0.80 in control sample (p < .001). Interestingly, hypertensive children reported lower social functioning scores than hypertensive adolescents (p < .001). Conclusions: This cross-sectional study gives insight into the detrimental impact of hypertension on children’s and adolescents HRQoL, which may inform public health experts. Furthermore, it shows that clinicians should aim to improve patients’ physical and psychosocial well-being throughout their development.
Ključne besede: arterial hypertension, paediatric, health-related quality of life, PedsQL
Objavljeno: 26.10.2018; Ogledov: 71; Prenosov: 11
.pdf Celotno besedilo (745,16 KB)

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