Clinical-epidemiological characteristics and medical record analysis of patients with systemic arterial hypertension in primary health care

Randerson José de Araújo Sousa, Adriana Vanessa Ribeiro Mafra, Tainara Silva Thomaz, Maria Juliana Martins Souza, Clara Serique Massaranduba e Silva, Christian Diniz Lima e Silva, Ligia Amaral Filgueiras

Resumo

We aimed to analyze information on patients with SAH from their medical records and describe the clinical-epidemiological profile. It is a cross-sectional, retrospective research and the collection site was primary health care, with the medical records being the source of data. Of the 500 records, 482 were evaluated and more than half of the records (67.8%) were from women, who were younger than men (63.5│13.6 vs 66.5│12.0, p<0.020) and significantly more overweight and obese (23.9% vs 15.4% / 31.5% vs 9.3%, p<0.10). We observed a predominance of elderly people (67.8%), men with higher systolic blood pressure (129.2│19.0 vs 133.1│20.7, p<0.016) and 58.2% of the sample without blood pressure control. We noticed 15.7% had other chronic diseases and the most prevalent cardiovascular events were brain stroke (Acidente Vascular Encefálico – AVE in portuguese) (26.5%) and acute myocardial infarction (AMI) (20.6%). No deaths from SARS-CoV-2 were identified. Our sample presented risk factors that increase the possibilities of unpleasant cardiovascular events and outcomes. Furthermore, the analysis of all items revealed flaws in the preparation of records, as well as it is likely that there are patients using antihypertensive medication without having in fact persistently high blood pressure levels.