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@article{1231815,
author = {Václavík, Jan and Vysočanová, Petra and Seidlerová, Jitka and Zajíček, Petr and Petrák, Ondřej and Dlask, Jaroslav and Krýza, Jiří},
article_location = {Philadelphia},
article_number = {27},
doi = {http://dx.doi.org/10.1097/MD.0000000000000168},
keywords = {BLOOD-PRESSURE CONTROL; UNCONTROLLED HYPERTENSION; UNITED-STATES; POPULATION; AMLODIPINE; COMBINATIONS; MANAGEMENT; CARE},
language = {eng},
issn = {0025-7974},
journal = {Medicine},
title = {Reasons for Switching Antihypertensive Medication in General Practice A Cross-Sectional Czech Nationwide Survey},
volume = {93},
year = {2014}
}
TY - JOUR
ID - 1231815
AU - Václavík, Jan - Vysočanová, Petra - Seidlerová, Jitka - Zajíček, Petr - Petrák, Ondřej - Dlask, Jaroslav - Krýza, Jiří
PY - 2014
TI - Reasons for Switching Antihypertensive Medication in General Practice A Cross-Sectional Czech Nationwide Survey
JF - Medicine
VL - 93
IS - 27
SP - 1-5
EP - 1-5
PB - Lippincott Williams & Wilkins
SN - 00257974
KW - BLOOD-PRESSURE CONTROL
KW - UNCONTROLLED HYPERTENSION
KW - UNITED-STATES
KW - POPULATION
KW - AMLODIPINE
KW - COMBINATIONS
KW - MANAGEMENT
KW - CARE
N2 - To improve blood pressure (BP) control of their patients, physicians either adjust or switch antihypertensive medication. Currently, there is only limited information available on why physicians decide to switch antihypertensive medications. A questionnaire-based survey was performed between November 2011 and March 2012 in the Czech Republic. General practitioners were asked to fill in questionnaires about their hypertensive patients whose antihypertensive medication they were planning to change. These questionnaires recorded data about patient demographic information, cardiovascular risk factors, BP values, and reasons for switching anti-hypertensive medication. Two hundred eight-six general practitioners surveyed a total of 4341 hypertensive patients. The mean age of the patients was 59.8 years, 68.9% of patients were overweight or obese. Uncontrolled office systolic and diastolic BP >140/90 mm Hg was present in 89.6% and 81.5% of patients, respectively, despite the fact that 49.4% of patients used a combination of 2 or more antihypertensive drugs. The most common reasons for switching medication were insufficient BP control (73.7%), followed by aiming for a better 24-hour effect (38.4%) and increased cardiovascular risk of the patients (37.7%). The major reason for switching antihypertensive treatment in general practice was insufficient BP control. Switching medication because of adverse drug effects is less frequent than reported a decade ago.
ER -
VÁCLAVÍK, Jan, Petra VYSOČANOVÁ, Jitka SEIDLEROVÁ, Petr ZAJÍČEK, Ondřej PETRÁK, Jaroslav DLASK a Jiří KRÝZA. Reasons for Switching Antihypertensive Medication in General Practice A Cross-Sectional Czech Nationwide Survey. \textit{Medicine}. Philadelphia: Lippincott Williams \&{} Wilkins, 2014, roč.~93, č.~27, s.~1-5. ISSN~0025-7974. Dostupné z: https://dx.doi.org/10.1097/MD.0000000000000168.
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