EVALUATION OF CARDIOVASCULAR HIGH RISK POPULATION IN SPECIALISTS AMBULANCES - ESA: PP.19.225

Abstract

Objective: Obtain following data from the specialists ambulances (internists and cardiologists) regarding hypertensive patients: frequency of high risk hypertensive patients and proportion of patients with hypertension in whom BP is well controlled (target BP reached). Another goal was to obtain data about pharmacological treatment of hypertensive patients. Design and Method: National, multicenter, non-interventional, cross sectional, representative sample, one visit study. Results: Data of 19821 patients with primary hypertension visited office-based internists and cardiologists in the Czech Republic was analysed. The average age was 64 ± 12 years (range 19–99 years), 53% were women. The mean blood pressure of entire population was 138,5 ± 15,1/81,7 ± 9,1 mmHg. There were high proportion of patients with well controlled blood pressure (BP below 140/90 mmHg) – 48% of the patients. Among those with diabetes the proportion of well controlled patients was much lower – only 11% of the patients. Regarding other cardiovascular risk factors the most common was hyperlipidaemia – 66% of the patients, following by diabetes and smoking with 29 and 14 % of the patients respectively. 8.444 (43%) of the patients suffered from the coronary artery diseases, 2.251 (11%) patients experienced stroke or transitory ischemic attack (TIA) and 1.601 (8%) patients had peripheral artery disease. Regarding antihypertensive therapy, 21% of the population was treated by monotherapy. The most frequent was the combination of ACE inhibitors plus diuretics or triple-combination of ACE inhibitors plus diuretics plus beta-blockers. Conclusions: Data of 19821 patients with primary hypertension managed by specialists were analysed. There were high prevalence of other CV risk factors in this population. The most frequent was hyperlipidaemia followed by diabetes and smoking. High proportion of the patients suffered from atherosclerotic complications – coronary artery disease, stroke/TIA or peripheral artery disease. Relatively high proportion of patients in entire population reached blood pressure below 140/90 mmHg. The frequency of well controle hypertension among patients with diabetes was significantly less satisfactory. Majority of the patients were treated with combination of antihypertensive drugs.