RESUMO
OBJECTIVES: Appraisal of the agreement between patients' reports and general practitionners' declaration in a French Caribbean population and relationship with blood pressure normalization. METHODS: One hundred French Caribbean practitioners participated in this observational survey: each of them included five essential hypertensives treated for more than three months. BP was considered to be normalized if inferior to 140/90 mmHg. We considered that there is a total agreement between patient and GP declaration when SBP and DBP did not differ by more than 5 mmHg and when the eight risk factors or co-morbidity were identical. Identification of independent factors of BP normalization and awareness was performed using logistic regression. RESULTS: Five hundred and nine hypertensives (57% women) were recruited. Sixty-nine percent (n = 328) were less than 65 years, 75% (n = 341) had an educational level less than high school. The normalisation rate was 39% (n = 185) within the whole population. 63.4% had a high cardiovascular risk. BP normalization appeared to be closely associated to BP awareness. CONCLUSIONS: In this observational survey, in a French Caribbean hypertensive population, two third had a high cardiovascular risk. The normalization rate was 39%. This BP normalization appeared to be closely associated to BP awareness.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Hipertensão/tratamento farmacológico , Adulto , Idoso , Feminino , Medicina Geral , Objetivos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Inquéritos e Questionários , Índias OcidentaisRESUMO
After a brief review of Chagas' disease history in French Guiana, the authors report the first autochthonous case of Chagas' cardiopathy found in this country since 1956. The diagnostic suspected through epidemiological, clinical, electrocardiographical and echocardiographical data, was corroborated by serology and by the discovery of an apical aneurysm at post mortem examination of the heart.