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Rev Esp Cardiol. 2001 Feb;54(2):139-49.

[Impact of hypertension in cardiac diseases in Spain. The CARDIOTENS Study 1999].

[Article in Spanish]

Author information

1
Sección de Hipertensión Arterial, Sociedad Española de Cardiología.

Abstract

INTRODUCTION AND OBJECTIVES:

To analyze the prevalence and control of hypertensive patients with associated cardiac diseases in Spain.

METHODS:

All the 32,051 outpatients seen the same day by 1,159 primary physicians (79%) and cardiologists (21%) were prospectively included in a database including history of cardiac disease (heart failure, coronary disease or atrial fibrillation), casual blood pressure and ongoing treatments.

RESULTS:

Hypertension was present in 33% of the whole group and 19% had both hypertension and a cardiac disease. Hypertension was present in 77% of the patients with heart failure, in 66% of those with coronary diseases and in 66% with atrial fibrillation. Less than 60% of the hypertensive patients with heart failure were treated with an angiotensin or a converting enzyme inhibitor. Thirty-two percent of the hypertensive patients with coronary disease received a betablocker and 25% of the hypertensive patients with atrial fibrillation were on oral anticoagulation. Less than 20% of the patients with hypertension and cardiac disease had blood pressure levels under 130/85 mmHg as recommended by international guidelines. Patients seen by primary care physicians were found to be slightly better treated than those under cardiologists' care.

CONCLUSIONS:

High blood pressure is associated with heart failure, coronary disease and atrial fibrillation in a high percentage of patients. The blood pressure levels recommended by current guidelines for cardiac hypertensives were attained in less than 20% of the cases. The control of blood pressure in these high risk hypertensive patients was low and the use of appropriate pharmacological treatment was poor.

PMID:
11181302
DOI:
10.1157/03008932054000220010139
[Indexed for MEDLINE]
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