Abstract
Background Treatment and control of blood pressure (BP) may improve outcomes in patients with heart failure (HF) with preserved and reduced ejection fraction. Updated AHA/ACC/HFSA guidelines from 2017 added a recommendation to target a systolic BP less than 130mm Hg for those with Stage C HF regardless of ejection fraction (Class of recommendation I, level of evidence C). Nationally representative data regarding rates of BP treatment and control in ambulatory HF patients are needed to identify gaps in achieving this goal and determine if racial disparities exist. Hypothesis Treatment and control rates of BP are low in those with HF and vary by race. Methods We evaluated BP treatment and control rates in adults age ≥20 years who identified as non-Hispanic (NH) black, NH white, or Hispanic with self-reported HF from the National Health and Nutrition Examination Surveys (NHANES) 1999-2016. We determined prevalence rates of BP treatment and control by race. Control BP (for those on BP treatment) or goal BP (for those not on BP treatment) was defined as Results Among 1240 adults with HF, mean age was 66±0.5 years and 48% were female, 14% NH black, 9% Hispanic, and 69% were on BP treatment. Rate of BP treatment was highest in NH blacks (82%) compared with NH whites (65%) or Hispanics (55%) (p Conclusions Despite the fact that patients with HF constitute a high-risk population, we found low rates of BP treatment and control (defined by
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