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Characteristics of blood-pressure control in treated hypertensive patients in Croatia
Dinko Vitezić1, Thomas Burke, Jasenka Mrsić-Pelcić
1University of Rijeka Medical School and University Hospital Centre Rijeka, Brace Branchetta 20, 51000 Rijeka, Croatia. vdinko@medri.hr
Insights
Blood pressure control in Croatian hypertensive patients was poor, with only 23% achieving target levels. Age, cardiovascular risk factors, and demographics significantly influenced blood pressure management.
Area of Science:
- Cardiology
- Public Health
Background:
- Hypertension is a global health concern requiring effective blood pressure (BP) management.
- Understanding factors influencing BP control is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate blood pressure control rates in Croatian hypertensive patients.
- To identify demographic and cardiovascular risk factors associated with BP control.
Main Methods:
- Cross-sectional study involving 141 physicians and 814 hypertensive patients in Croatia.
- Data collected via questionnaires between December 2003 and January 2004.
- Analysis of BP control in patients treated with antihypertensive drugs.
Main Results:
- Only 23% of hypertensive patients achieved controlled BP (< 140/90 mmHg).
- Factors associated with higher BP included older age (>60 years), left ventricular hypertrophy, retinopathy, smoking, and diabetes mellitus.
- Lower BP was observed in patients from urban centers, closer to hospitals, with higher education, and who were employed.
Conclusions:
- Significant room for improvement exists in hypertension care quality in Croatia.
- Demographic and cardiovascular risk factors must be considered for effective patient management.
- Targeted interventions are needed to enhance blood pressure control rates.
Abstract:
The aim of our study was to investigate blood pressure (BP) control and different factors with possible influence on BP control in Croatian hypertensive patients. In this cross-sectional investigation, a representative sample of target populations (primary care physicians and patients) from different parts of Croatia was included according to the study protocol. During December 2003 and January 2004, we included, according to correctly completed questionnaires, 141 physicians and 814 hypertensive patients. A controlled BP (BP < 140/90 mmHg) in this hypertensive population treated with antihypertensive drugs was in 23% of patients. The analysis of BP control according to risk factors showed that significantly related with higher levels of systolic or diastolic BP were the age (poorer systolic BP control in patients older than 60 years), left ventricular hypertrophy, changes of the eye retina, smoking and diabetes mellitus. Furthermore, patients from towns closer to the hospital, from urban centers, with higher education and employed had significantly lower average BP. According to our results of hypertension control in Croatia, there is a need and a possibility for the improvement of the quality of hypertension care. The relationship between demographic and cardiovascular risk factors with poor BP control should be taken into account when treating patients.
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