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T P CHÍ CH CC NT S 33/2020 B NH NHÂN B NH M CH VÀNH M N T I B NH VI -2020 Nguy n Cao Nh t Linh*, Tr n Ng c Dung, Nguy n Th Di m ih cC *Email: ncnlinh.bv@ctump.edu.vn TÓM T T tv : M c tiêu nghiên c u: 1) Xác nh t l t áp b nh nhân b nh m ch vành m t qu ki m soát HA theo ng d n c a ACC/AHA 2017 b nh nhân m c b nh m ch vành m n có THA tìm hi u m t s y ut n k t qu ki m soát huy t áp (HA) pháp nghiên c u: Nghiên c u mô t c t ngang 312 b nh nhân b nh m ch vành m n t tháng 05/2018 n tháng 04/2020 t i B nh vi K t qu : T l t áp b nh nhân b nh m ch vành m n 78,2% T l tm ng d n ACC/AHA 2017 43,4% V k t qu u tr , t l ph i h p thu u tr chi m nhi u nh ph i h p thu c ch n beta v i c ch men chuy n cho k t qu ki m soát huy t áp t t nh t (59,1%) Ki m soát HA b nh nhân BMVM kèm suy th n m n cho k t qu t t nh t v i 50% b nh t HA m c tiêu so v i b nh nhân suy th n m n cịn l i (p=0,025) B nh nhân có hút thu c u u có t l t m c tiêu l t 64,3% (p=0,018) 66,7% i b nh nhân khơng có thói quen K t lu n: B nh nhân b nh m ch vành m n có t l THA cao M t s y u t n k t qu ki m sốt HA m c tìm th y thói quen sinh ho t, tình tr ng b T khóa: b nh m ch vành m ng d n c a ACC/AHA 2017 ABSTRACT THE HYPERTENSION ON PATIENTS WITH CHRONIC CORONARY ARTERY DISEASES AND RESULTS OF BLOOD PRESSURE CONTROL AT CAN THO CENTRAL GENERAL HOSPITAL IN 2018-2020 Nguyen Cao Nhat Linh*, Tran Ngoc Dung, Nguyen Thi Diem Can Tho University of Medicine and Pharmacy Background: Chronic coronary artery disease with hypertension is common increasingly This treatment results in patients with chronic coronary artery disease have not been much got good achieved in Vietnam Nowadays, the new recommendations on blood pressure goals have changed, so, this is a necessary issue raised in current concern Objectives: 1) To determine the hypertensive rate of patients with chronic coronary artery disease; 2) To evaluate the results of blood pressure control under the guidance of ACC/AHA 2017 in patients with chronic coronary artery disease and find out some factors related to the results Materials and methods: A crosssectional descriptive study was carried out of 312 patients with chronic coronary artery disease from May 2018 to April 2020 at Can Tho Central General Hospital Results: The incidence of hypertension on patients with chronic coronary artery disease was 78.2% In treatment results, the rate of the target blood pressure (BP) was 43.4% Combine of drugs for blood pressure control is the most used therapy, accounted for 13.1% In which, the Beta blockers combined with ACE T P CHÍ CH CC NT S 33/2020 inhibitors is the best blood pressure (BP) control therapy, accounted for 59.1% The chronic coronary artery disease patients with stage chronic renal failure had the highest BP control (50%) compared with the other patients (p = 0.02 target BP control if they have smoked (64.3%, p=0,018) and drank alcohol (66.7%, p=0.027), compared with the others Conclusion: Hypertension has a high proportion in patients with chronic coronary artery disease Related factors such as smoking and alcohol habit and comorbidities influenced to results of target BP control of patients with chronic coronary artery disease Keywords: chronic coronary artery disease, hypertension, American College of Cardiology/American Heart Association (ACC/AHA) 2017 TV [8] [2] [15] (1) nh t l t áp theo tiêu chu n ch a ACC/AHA 2017 b nh nhân m c b nh m ch vành m n t qu ki m soát huy t ng d u tr c a ACC/AHA 2017 b nh nhân m c b nh m ch vành m t áp tìm hi u m t s y u t n k t qu ki m soát huy t áp U Nh ng b nh nhân m c b nh m ch vành m n, -N T P CHÍ - B nh nhân nh - CH CC NT S 33/2020 p 2.2 T tháng 05/2018 n tháng 04/2020 : z= [13] d - Xá - - tháng sau III K T QU NGHIÊN C U B ng = 312) Nam 120 192 38,5 61,5 T P CHÍ CH CC NT = 312) < 50 50 - 64 ± b nh nhân nghiên c u 72,61 ± S 33/2020 13 63 236 : 72,61 ± 12,94 4,2 20,2 75,6 70 209 28 312 22,4 1,6 67 100 tu i trung bình c a -
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