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abstractThe figures available from literature on treatments used to improve blood pressure control show that general practitioners’ surgeries require an organised system for the regular follow up of hypertensive patients. That is what the GIANO project is aimed at: conducted in the province of Turin between 1999 and 2004, it tested out a surgery dedicated to applying the recommendations contained in the guidelines.
At the end of the experiment it emerged that the mortality rate of those patients not included in GIANO was more than double that of those taking part. The experience of the GIANO project confirms that medicine based on initiative, combined with that based on opportunity, allows us to increase the number of patients who are aware of their condition, as well as those who are able to counterbalance it; and halve the mortality rate related to cardiovascular disorders. Key words: Cardiovascular risk; Guidelines |
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