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espanolObjetivos: Conocer, mediante la monitorizacion ambulatoria de la presion arterial (MAPA) en farmacia comunitaria (FC), el grado de control de la presion arterial (PA) del paciente hipertenso anciano. Identificacion del perfil circadiano. Identificacion de hipertension clinica aislada (HCA) e hipertension enmascarada no controlada (HENC). Metodos: Muestreo consecutivo de los pacientes hipertensos ancianos con tratamiento farmacologico antihipertensivo atendidos en dos FC. Se realizo medida aislada de presion arterial en farmacia comunitaria (MAFC) y MAPA durante un minimo de 29h a cada paciente. Se envio informe al medico para su valoracion. Resultados: 219 pacientes (47,9% mujeres, edad media 71,5±5,4 anos). El grado de control con medida con MAFC (74 pacientes) es del 34% y con MAPA (99 pacientes) es del 45%. La prevalencia de patron circadiano dipper fue del 29,7%. 21 pacientes hipertensos controlados con MAFC ( 46 pacientes hipertensos no controlados en MAFC (≥140/90) (21%) tuvieron cifras de PA Conclusiones: El grado de control de la PA de pacientes hipertensos ancianos es mayor cuando se analiza mediante MAPA. Su perfil circadiano es mayoritariamente non dipper. La realizacion de MAPA en FC permite identificar la HCA y la HENC. La medida aislada de PA es insuficiente para optimizar el control de la HTA en estos pacientes. EnglishObjectives: Learning, through ambulatory blood pressure monitoring (AMBP) in community pharmacies (CP), the level of blood pressure (BP) monitoring in hypertensive elderly patients. Identification of circadian profile. Identification of isolated clinical hypertension (ICH) and hidden uncontrolled hypertension (HUH).Methods: Consecutive sampling of hypertensive elderly patients with antihypertensive drug treatment attended to at two CPs. Isolated measuring of blood pressure in a community pharmacy (IMCP) and AMBP were conducted over at least 29 hours in each patient. The report was sent to the doctor for evaluation. Results: 219 patients (47.9% females, aged 71.5±5.4 years on average). The level of control with IMCP measurement (74 patients) is 34% and with AMBP (99 patients) is 45%. The prevalence of the dipper circadian rhythm was 29.7%. 21 hypertensive patients controlled with IMCP ( 46 hypertensive uncontrolled patients in IMCP (≥140/90) (21%) had BP values of Conclusions: The level of BP control of hypertensive elderly patients is higher when measured with AMBP. Its circadian profile is mostly non dipper. AMBP measurement in CPs allows identification of ICH and HUH. Isolated BP measurements are not sufficient to optimize HBP control in these patients.

farmacéuticos comunitarios

Proyecto ‘KAIRÓS’: monitorización ambulatoria de la presión arterial en farmacia comunitaria. Control y seguimiento de la presión arterial en pacientes hipertensos ancianos tratados