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[Control of hypertension in the Czech part of the Pardubice-Augsburg Study]
J Matĕjka1, M Bobák, P Vojtísek
1Kardiologické oddĕlení Nemocnice, Pardubice.
Insights
Hypertension prevalence is high (59%) in Czech men aged 45-64. Awareness, treatment, and control of high blood pressure remain inadequate, highlighting a significant public health concern.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Investigated the Czech region of the Pardubice-Augsburg Study.
- Focused on men aged 45-64 years.
- Utilized the WHO/International Society of Hypertension definition for arterial hypertension (BP ≥ 140/90 mm Hg).
Purpose:
- To assess the prevalence, awareness, treatment, and control of arterial hypertension.
- To evaluate the effectiveness of current hypertension management strategies.
- To identify challenges in achieving target blood pressure values.
Summary:
- Arterial hypertension affects 59% of men aged 45-64 in the studied population.
- Only 55% of hypertensive individuals were aware of their diagnosis, with 40% receiving pharmacological treatment.
- Effective hypertension control was achieved in only 9% of treated patients and 4% overall, indicating inadequate management.
Impact:
- Highlights a critical gap in hypertension awareness and management within the Czech Republic.
- Suggests that a large proportion of unsuccessfully treated patients have borderline blood pressure values.
- Underscores the need for improved strategies to achieve target blood pressure control and reduce cardiovascular risk.
Abstract:
Objective of the work is to evaluate the prevalence of arterial hypertension, awareness of it, its treatment and control in the Czech part of the Pardubice-Augsburg Study. A random sample of 191 men aged 45-64 years was invited for examination. Arterial hypertension according to the present definition of WHO/International Society of Hypertension (blood pressure > or = 140/90 mm Hg = 18.8/12kPa) was recorded in 113 subjects, its prevalence being 59% .55% hypertensive patients were aware of their diagnosis. 40% of the hypertensive patients were on pharmacological treatment. Hypertension control was achieved in 9% of the treated and in 4% of all hypertensive subjects. Hypertension Control in the investigated representative population sample is inadequate. The greatest problem the inadequate reduction of blood pressure to target values. Comparison of hypertension control using older (BP > or = 160/95 mm Hg = 21.3/12.6 kPa) and present (BP > or = 140/90 mm Hg = 18.6/12 kPa) definitions of arterial hypertension suggests that the great majority of unsuccessfully treated hypertensive subjects has borderline blood pressure values.