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Cardiovascular risks in a military health care beneficiary population with high blood pressure

Diep N Duong1, Kandy K Smith, M Candice Ross

  • 1Uniformed Services University of the Health Sciences, TriService Nursing Research Program, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.

Military Medicine
|November 10, 2004
PubMed

Insights

Hypertension control is suboptimal in military patients, with many also having high cholesterol, obesity, and diabetes. Regular assessment of cardiovascular risk factors and interventions are crucial for this population.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Health Services Research

Background:

  • Hypertension management is key for preventing coronary artery disease (CAD).
  • Military health systems serve a population requiring tailored cardiovascular risk factor assessment.
  • Understanding comorbidity prevalence is essential for effective prevention strategies.

Purpose of the Study:

  • To determine the prevalence of cardiovascular risk factors in military beneficiaries with high blood pressure (HBP).
  • To assess the current level of HBP control within this specific demographic.
  • To inform prevention strategies for CAD in a military healthcare setting.

Main Methods:

  • Analysis of baseline data from a randomized clinical trial on HBP intervention.
  • Inclusion of 147 military health system beneficiaries with high blood pressure.
  • Assessment of modifiable cardiovascular risk factors including cholesterol, obesity, and diabetes.

Main Results:

  • Suboptimal high blood pressure control observed in 32% of the sample (BP < 140/90).
  • High prevalence of other cardiovascular risk factors: high cholesterol, obesity, and diabetes.
  • 31.3% of patients were identified as moderate-to-high risk for future coronary artery disease.

Conclusions:

  • Regular cardiovascular risk factor assessment is warranted for all military healthcare beneficiaries.
  • Rigorous behavioral interventions are necessary to improve outcomes for hypertensive patients.
  • Findings highlight the need for comprehensive management of cardiovascular health in military populations.

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