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The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: A Project in the Real World) Project.
High Blood Press Cardiovasc Prev. 2021 Mar; 28(2):151-157.HB

Abstract

The approach to hypertensive emergiencies (HE) and urgencies (HU) may be different according to local clinical practice, despite recent guidelines and position papers recommendations. The Italian Society of Hypertension (Società Italiana della Ipertensione Arteriosa, SIIA) developed an online survey, in order to explore the awareness, management and treatment of HU in Italy, sending by e mail a 12 items questionnaire to the members of the SIIA. The results show that the definition of HU was correctly identified by 62% of the responders. Most physicians identified the role of pharmacological therapy or legal/illegal substances abuse as possible cause of BP elevation; the use of a benzodiazepine drugs was considered worthwhile by 65% of responders. The prescription of diagnostic test and drug administration significantly differed from guidelines recommendations and only 57% of the physicians reported to treat HU with oral drug administration. Sub-lingual nifedipine was prescribed by 13% or responders. This survey shows the need to further spread the updated scientific information on the management and treatment of HE and HU, along with the improvement of the interrelationship with the general practitioner health system in Italy.

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Authors+Show Affiliations

Muiesan ML
Department of Clinical and Experimental Sciences, University of Brescia, ASST Spedali Civili, Brescia, Italy. marialorenza.muiesan@unibs.it.
Rosei EA
Department of Clinical and Experimental Sciences, University of Brescia, ASST Spedali Civili, Brescia, Italy.
Borghi C
Department of Medical and Surgical Science, Alma Mater Studiorum University of Bologna, Bologna, Italy.
De Luca N
Department of Advanced Biomedical Science, Hypertension Research Center, Federico II University Hospital, Naples, Italy.
Ghiadoni L
Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Grassi G
Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Perlini S
Department of Emergency, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. Department of Internal Medicine and Therapeutics, University of Pavia, Pavia, Italy.
Pucci G
Internal Medicine, Department of Medicine, University of Perugia, Terni University Hospital, Perugia, Italy.
Salvetti M
Department of Clinical and Experimental Sciences, University of Brescia, ASST Spedali Civili, Brescia, Italy.
Volpe M
Cardiology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy. IRCCS Neuromed, Pozzilli, IS, Italy.
Ferri C
Department of Internal Medicine and Public Health, University of Aquila, L'Aquila, Italy.
Italian Society of Hypertension
No affiliation info available

MeSH

AdolescentAdultAgedAntihypertensive AgentsBlood PressureDrug UtilizationEmergenciesFemaleGeneral PracticeGuideline AdherenceHealth Care SurveysHumansHypertensionItalyMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Risk FactorsTreatment OutcomeYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33544372

Citation

Muiesan, Maria Lorenza, et al. "The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: a Project in the Real World) Project." High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension, vol. 28, no. 2, 2021, pp. 151-157.
Muiesan ML, Rosei EA, Borghi C, et al. The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: A Project in the Real World) Project. High Blood Press Cardiovasc Prev. 2021;28(2):151-157.
Muiesan, M. L., Rosei, E. A., Borghi, C., De Luca, N., Ghiadoni, L., Grassi, G., Perlini, S., Pucci, G., Salvetti, M., Volpe, M., & Ferri, C. (2021). The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: A Project in the Real World) Project. High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension, 28(2), 151-157. https://doi.org/10.1007/s40292-021-00433-1
Muiesan ML, et al. The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: a Project in the Real World) Project. High Blood Press Cardiovasc Prev. 2021;28(2):151-157. PubMed PMID: 33544372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The UrgeRe (Urgenze Ipertensive: Un Progetto Educazionale Fondato Sulla Vita Reale, Hypertensive Urgencies: A Project in the Real World) Project. AU - Muiesan,Maria Lorenza, AU - Rosei,Enrico Agabiti, AU - Borghi,Claudio, AU - De Luca,Nicola, AU - Ghiadoni,Lorenzo, AU - Grassi,Guido, AU - Perlini,Stefano, AU - Pucci,Giacomo, AU - Salvetti,Massimo, AU - Volpe,Massimo, AU - Ferri,Claudio, AU - ,, Y1 - 2021/02/05/ PY - 2020/12/19/received PY - 2021/01/04/accepted PY - 2021/2/6/pubmed PY - 2021/4/7/medline PY - 2021/2/5/entrez SP - 151 EP - 157 JF - High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension JO - High Blood Press Cardiovasc Prev VL - 28 IS - 2 N2 - The approach to hypertensive emergiencies (HE) and urgencies (HU) may be different according to local clinical practice, despite recent guidelines and position papers recommendations. The Italian Society of Hypertension (Società Italiana della Ipertensione Arteriosa, SIIA) developed an online survey, in order to explore the awareness, management and treatment of HU in Italy, sending by e mail a 12 items questionnaire to the members of the SIIA. The results show that the definition of HU was correctly identified by 62% of the responders. Most physicians identified the role of pharmacological therapy or legal/illegal substances abuse as possible cause of BP elevation; the use of a benzodiazepine drugs was considered worthwhile by 65% of responders. The prescription of diagnostic test and drug administration significantly differed from guidelines recommendations and only 57% of the physicians reported to treat HU with oral drug administration. Sub-lingual nifedipine was prescribed by 13% or responders. This survey shows the need to further spread the updated scientific information on the management and treatment of HE and HU, along with the improvement of the interrelationship with the general practitioner health system in Italy. SN - 1179-1985 UR - https://www.unboundmedicine.com/medline/citation/33544372/The_UrgeRe__Urgenze_Ipertensive:_Un_Progetto_Educazionale_Fondato_Sulla_Vita_Reale_Hypertensive_Urgencies:_A_Project_in_the_Real_World__Project_ DB - PRIME DP - Unbound Medicine ER -