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Blood pressure levels in treated hypertensive patients in general practice in Norway

A Westheim1, T Klemetsrud, S Tretli

  • 1Department of Cardiology, Ullevål Hospital, Oslo, Norway.

Blood Pressure
|May 3, 2001
PubMed

Insights

Blood pressure control is insufficient in most Norwegian patients with essential hypertension, with only 30.7% of men and 22.3% of women achieving target levels. Improved hypertension management in general practice is urgently needed.

Area of Science:

  • Cardiology
  • General Practice
  • Public Health

Background:

  • Essential hypertension is a prevalent condition requiring ongoing management.
  • Effective blood pressure control is crucial for reducing cardiovascular risk.
  • Current treatment strategies in general practice settings warrant evaluation.

Purpose of the Study:

  • To assess blood pressure (BP) control in a large cohort of patients with essential hypertension undergoing treatment in Norwegian general practice.
  • To identify factors influencing BP control, including demographics and treatment regimens.
  • To highlight the need for improved hypertension management strategies.

Main Methods:

  • Retrospective analysis of data from 1816 patients in Norwegian general practice.
  • Data collected via physician-completed optical readable questionnaires.
  • Information included demographics, anthropometrics, smoking habits, and antihypertensive medication.

Main Results:

  • Only 22.3% of women and 30.7% of men achieved BP < or = 140/90 mmHg.
  • Using a less stringent criterion (BP < 160/95 mmHg), 50% of patients achieved control.
  • Blood pressure control was poorer in women and patients over 60; combination therapy showed no advantage over monotherapy.

Conclusions:

  • A significant proportion of hypertensive patients in Norwegian general practice have inadequate blood pressure control.
  • Current treatment protocols may not be sufficiently effective for achieving target BP levels.
  • Enhanced strategies for hypertension management in primary care are essential to improve patient outcomes.

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