Hipertensão arterial sistêmica e morbidade psiquiátrica em ambulatório de hospital terciário
Isabela M. Benseñor,Alexandre C. Pereira,Anna C. Tannuri,Carla M. Valeri,Daniela Akashi,Daniele Q. Fucciolo,Flávia K. Issa,Maurício L. Lobato,Silvia M. Titan,Tatiana de Fátima Gonçalves Galvão,Paulo A. Lotufo +10 more
TL;DR: It is confirmed that ha grande co-morbidade psiquiatrica em hipertensos that frequentam ambulatorios of hospital terciario e that esses disturbios sao mais frequentes em mulheres e em pacientes jovens.
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Abstract: A hipertensao arterial sistemica representa um dos principais fatores de risco para as doencas cardiovasculares que sao a principal causa de morte em nosso meio. Hipertensos que frequentam hospital terciario apresentam elevada co-morbidade incluindo disturbios psiquiatricos. O objetivo deste estudo e avaliar a morbidade psiquiatrica em hipertensos graves. Este estudo foi realizado em ambulatorio geral de hospital terciario: 41 pacientes (26 mulheres e 15 homens) foram submetidos a consulta medica com aplicacao do PRIME-MD, um questionario especifico para diagnostico de alteracoes psiquiatricas a ser realizado pelo clinico. A frequencia de disturbios psiquiatricos diferiu em homens e mulheres: 63,4% das mulheres na pesquisa apresentavam algum tipo de disturbio contra 36,6% dos homens (p=0,012). A maior parte dos diagnosticos foi de disturbios do humor representados pela depressao associada ou nao a disturbios ansiosos. A media de idade dos pacientes com disturbio psiquiatrico foi 47,1 anos contra 59,3 anos dos pacientes sem disturbio psiquiatrico (p=0,0049), mostrando a presenca dos disturbios psiquiatricos em pacientes mais jovens. Outros fatores pesquisados, como a pressao arterial sistolica, a pressao arterial diastolica e indice de massa corporea nao apresentaram diferencas em funcao dos disturbios psiquiatricos apresentados. Concluimos que ha grande co-morbidade psiquiatrica em hipertensos que frequentam ambulatorios de hospital terciario e que esses disturbios sao mais frequentes em mulheres e em pacientes jovens.
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