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[Hypertension management in patients with stable coronary disease]
1Service de médecine interne et d'hypertension artérielle, CHU Purpan, 31059 Toulouse. amar.j@chu-toulouse.fr
Insights
Hypertension control remains a challenge in French patients with stable coronary disease, with over half experiencing uncontrolled blood pressure. Improving management could significantly reduce cardiovascular events in secondary prevention.
Area of Science:
- Cardiology
- Hypertension Management
- Public Health
Context:
- Assesses hypertension control in stable coronary disease patients within France.
- Utilizes data from a cross-sectional study involving 794 cardiologists and 6,349 patients.
- Examines cardiovascular risk factors, antihypertensive treatments, and patient history.
Purpose:
- To evaluate the prevalence and control status of hypertension in patients with stable coronary disease.
- To identify the proportion of patients with uncontrolled hypertension, including isolated systolic hypertension.
- To highlight the potential for improved cardiovascular risk reduction in secondary prevention.
Summary:
- A significant proportion of patients (58.4%) with stable coronary disease in France have uncontrolled hypertension.
- Among uncontrolled cases, systolic hypertension alone was the primary issue in 69.3%.
- Controlled hypertension was defined as blood pressure < 140/90 mmHg, while uncontrolled was >= 140/90 mmHg.
Impact:
- Findings suggest a substantial opportunity to enhance cardiovascular outcomes through better hypertension management in this population.
- Highlights the need for targeted interventions to improve blood pressure control in secondary prevention.
- Provides valuable data for healthcare providers and policymakers aiming to reduce cardiovascular morbidity.
Aims:
To assess hypertension control in patients with stable coronary disease in France.
Design:
A cross sectional study was conducted in a representative sample of 794 cardiologists.
Participants:
The first 6 patients with coronary disease received at practitioner's office were included.
Main Outcome Measures:
Cardiovascular risk factors, antihypertensive drugs, cardiovascular history were reported. BP was measured. Patients considered as hypertensive by his cardiologist and receiving antihypertensive drugs were considered as hypertensive. Controlled hypertension was defined as a blood pressure < 140/90 mmHg. Uncontrolled hypertension was defined as blood pressure > or = 140/90 mmHg. Among the uncontrolled hypertensives we distinguished patients with isolated systolic hypertension: diastolic blood pressure < 90 mmHg and systolic blood pressure > or = 140 mmHg.
Results:
All variables were available in 6,349 patients who form the basis of this report. 3,161 patients were hypertensive. Of them, 1,846 (58.4%) were uncontrolled hypertensives, whom 1,280 (69.3%) were uncontrolled on the basis of systolic blood pressure alone.
Conclusion:
This study conducted in a representative sample of French cardiologists indicates that there is a considerable potential to further reduce cardiovascular morbidity in patients in secondary prevention.