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  • Title: Cardiovascular risk and blood pressure control in a Spanish hypertensive population attended in a Primary Care setting. Data from the PRESCAP 2006 study.
    Author: Rodriguez-Roca GC, Llisterri-Caro JL, Barrios-Alonso V, Alonso-Moreno FJ, Lou-Arnal S, Prieto-Diaz MA, Sanchez-Ruiz T, Dura-Belinchon R, Santos-Rodriguez JA, Divison-Garrote JA, Gonzalez-Segura D, Banegas-Banegas JR, Working Group of Arterial Hypertension of the Spanish Society of Primary Care Physicians (group HTA/SEMERGEN), PRESCAP 2006 Investigators.
    Journal: Blood Press; 2009; 18(3):117-25. PubMed ID: 19455457.
    Abstract:
    AIMS: To analyse the cardiovascular risk of a broad sample of hypertensive patients and to examine whether there are differences in blood pressure control and associated factors according to the different cardiovascular risk categories. MAJOR FINDINGS: A total of 10,520 patients > or = 18 years old were included (mean age 64.6+/-11.3 years; 53.7% women). In this cohort, 3.3% were average risk, 22.6% low added risk, 22.2% moderate added risk, 33.5% high added risk and 18.4% very high added risk. Blood pressure was controlled in 41.4% (95% CI 40.5-42.4) of the total population, in 91.7% of patients with low added risk, in 19.4% with moderate added risk, in 27.4% with high added risk and in 6.8% with very high added risk. Diabetes was the factor most strongly associated with poor blood pressure control in patients with high to very high added risk (OR=7.2; p<0.0001). PRINCIPAL CONCLUSION: More than half of the hypertensive patients treated in primary health care have a high or very high added cardiovascular risk. In these patients, blood pressure control is inadequate and diabetes is associated with a sevenfold increase in the likelihood of poor blood pressure control.
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