{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:35:06Z","timestamp":1765906506694,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"4","license":[{"start":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T00:00:00Z","timestamp":1743292800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction: L\u2019inertie th\u00e9rapeutique est une cause majeure de l\u2019hypertension art\u00e9rielle (HTA) non contr\u00f4l\u00e9e.\nObjectif: D\u00e9crire les connaissances, attitudes et pratiques des m\u00e9decins de premi\u00e8re ligne dans la prise en charge de l\u2019HTA et d\u00e9crire les facteurs de l'inertie th\u00e9rapeutique.\nM\u00e9thodes: Il s'agissait d'une \u00e9tude descriptive aupr\u00e8s des m\u00e9decins de premi\u00e8re ligne r\u00e9alis\u00e9e \u00e0 travers un questionnaire en ligne cr\u00e9\u00e9 \u00e0 l'aide de Google Forms durant la p\u00e9riode allant du 15 Mars au 15 Mai 2022.\u00a0\nR\u00e9sultats: Notre population incluait 232 m\u00e9decins, \u00e2g\u00e9s en moyenne de 39 ans, principalement actifs dans le secteur public (83%). Seuls 24% connaissaient les seuils diagnostics de l\u2019HTA toutes m\u00e9thodes confondues et 50% connaissaient les objectifs th\u00e9rapeutiques. L\u2019initiation par monoth\u00e9rapie \u00e9tait choisie par 49% des m\u00e9decins avec une pr\u00e9f\u00e9rence notable pour les inhibiteurs de l\u2019enzyme de conversion (79.3%) et les inhibiteurs calciques (60.8%). Les principales causes de l\u2019inertie th\u00e9rapeutique \u00e9taient le co\u00fbt (78,4%), les p\u00e9nuries de m\u00e9dicaments (72,8%), la non-adh\u00e9sion th\u00e9rapeutique (61,2%), le suivi par un autre sp\u00e9cialiste (46,5%), la crainte des effets secondaires (48,7%), l\u2019\u00e2ge du patient (40,5%), le manque d\u2019organisation du suivi (36,6%) et les comorbidit\u00e9s (35%) principalement l\u2019insuffisance r\u00e9nale (78,4%).\nConclusion: Notre \u00e9tude r\u00e9v\u00e8le un manque de connaissance et d\u2019application des nouvelles recommandations de l\u2019HTA. Pour y rem\u00e9dier, il faut renforcer la formation m\u00e9dicale continue, promouvoir l\u2019\u00e9ducation des patients, r\u00e9former le syst\u00e8me de sant\u00e9 et encourager l\u2019utilisation de th\u00e9rapies combin\u00e9es.<\/jats:p>","DOI":"10.62438\/tunismed.v103i4.4993","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:32:20Z","timestamp":1765906340000},"source":"Crossref","is-referenced-by-count":0,"title":["Inertie th\u00e9rapeutique dans l\u2019hypertension art\u00e9rielle: \u00e9tude aupr\u00e8s des m\u00e9decins de premi\u00e8re ligne"],"prefix":"10.62438","volume":"103","author":[{"given":"Saoussen","family":"Antit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olfa","family":"Ferchichi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khouloud","family":"Khairallah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Bahri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrine","family":"Bousnina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elhem","family":"Boussabeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilia","family":"Zakhama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,3,30]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:32:21Z","timestamp":1765906341000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/4993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,30]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,3,30]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i4.4993","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3,30]]}}}