Skip Navigation



QJM Advance Access published online on June 27, 2005
QJM, doi:10.1093/qjmed/hci091
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
98/8/581    most recent
hci091v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Roca, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Roca, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Received December 3, 2004
Revised May 10, 2005

Original paper

Control of hypertension in patients at high risk of cardiovascular disease

B. Roca 1*, C. Suárez 2, Á. Ceballos 3, J.M. Varela 4, F. Nonell 5, J. Montes 6, J. Sobrino 5, A. de la Peña 7, and for the CIFARC Group

1 From the Hospital General, Castellón, University of Valencia, Spain
2 From the Hospital de la Princesa, Madrid, Spain
3 From the Hospital de Antequera, Antequera (Málaga), Spain
4 From the Hospital Virgen del Rocío, Sevilla, Spain
5 From the Hospital l'Esperit Sant, Santa Coloma de Gramanet (Barcelona), Spain
6 From the Hospital do Meixoeiro, Vigo (Pontevedra), Spain
7 From the Hospital Son Llàtzer, Palma de Mallorca, Spain

* To whom correspondence should be addressed.
B. Roca, E-mail: brocav{at}meditex.es


  Abstract

Background: Hypertension is a major cardiovascular risk factor, but knowledge about the real magnitude of the problem and its determinants is lacking.

Aim: To assess control of hypertension and evaluate medical resource use, in patients at high risk of cardiovascular disease.

Design: Multicentric cross-sectional study.

Methods: We collected data for 2205 adult patients from 36 centres, representative of all regions of Spain. Patients had attended out-patient clinics from July 2002 to August 2003, had an absolute cardiovascular risk >=20% at 10 years (according to the Framingham guidelines), and had a diagnosis of hypertension. Pregnant and terminally ill patients were excluded.

Results: Hypertension was inadequately controlled in 1384 patients (62.8%). LDL cholesterol was higher in patients with uncontrolled hypertension (median 130.2 vs. 120.0 mg/dl, p < 0.001). Haemoglobin A1c in diabetic patients was also greater in those with uncontrolled hypertension (median 7.10% vs. 6.90%, p = 0.010). Uncontrolled hypertension was associated with the following variables, in descending strength of association: higher LDL cholesterol, taking antihypertensive medication, living in non-metropolitan areas, and higher body mass index.

Discussion: Hypertension is poorly controlled in most patients with a high risk of cardiovascular disease. Uncontrolled hypertension is frequently associated with poor control of other risk factors.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.