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[Blood pressure control in hypertensive patients with stable coronary heart disease]

B Chamontin1, J Beaune, J P Cambou

  • 1Service de médecine interne, HTA, CHU Rangueil, Toulouse.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|October 14, 2005
PubMed

Insights

Systolic blood pressure (SBP) control remains a challenge for most hypertensive patients with stable coronary heart disease (CHD). This French study found that 60% of patients did not meet SBP goals, indicating a need for improved combination therapy.

Area of Science:

  • Cardiology
  • Hypertension Management
  • General Practice Research

Context:

  • Stable coronary heart disease (CHD) patients often have co-existing hypertension.
  • Effective blood pressure control is crucial for secondary prevention in CHD.
  • General practice settings play a key role in managing chronic conditions like hypertension and CHD.

Purpose:

  • To evaluate the control of systolic blood pressure (SBP) in hypertensive patients with stable coronary heart disease (CHD) within French general practice.
  • To identify the proportion of patients achieving target SBP levels (<140/90 mmHg).

Summary:

  • A 2003 survey (LHYCORNE) included 595 hypertensive patients with documented CHD from 206 French general practitioners.
  • Mean SBP was 140.7 mmHg, with only 40% of patients achieving controlled SBP (<140 mmHg).
  • Control rates were lower in patients with angina pectoris (38%) compared to myocardial infarction (47%).

Impact:

  • Findings indicate suboptimal SBP control in a majority (60%) of hypertensive patients with stable CHD.
  • Suggests a significant opportunity to optimize antihypertensive treatment strategies, including combination therapy.
  • Highlights the need for adherence to evidence-based medicine guidelines for improved cardiovascular outcomes.
Abstract

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