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[Treatment and control of cardiovascular risk in primary care in Spain. The PREVENCAT study]

Antonio Coca1, Antonio Dalfó, Enric Esmatjes

  • 1Instituto de Medicina y Dermatología, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain. acoca@clinic.ub.es

Medicina Clinica
|March 3, 2006
PubMed

Insights

Cardiovascular risk factor treatment in Spain was common but varied, with type 2 diabetes, previous cardiovascular disease, and obesity linked to poor blood pressure control.

Area of Science:

  • Cardiology
  • Primary Care
  • Public Health

Background:

  • The PREVENCAT study assessed cardiovascular risk factor (CVRF) control and treatment in Spanish primary care.
  • Focus on patients with hypertension (HT), type 2 diabetes mellitus (DM2), or hypercholesterolemia (HC).

Purpose of the Study:

  • To estimate the control of main CVRF and their treatment.
  • Analyze predictors associated with CVRF control in a primary care setting.

Main Methods:

  • Cross-sectional study design.
  • Recruitment of patients with HT, DM2, and/or HC.
  • Description and analysis of treatments and CVRF control predictors.

Main Results:

  • High treatment rates for HT (95%), DM2 (84%), and HC (71.4%).
  • Common drugs: diuretics, sulfonylureas, statins. Monotherapy frequent for HT.
  • DM2, previous CVD, obesity, and sedentarism predicted poor blood pressure control.

Conclusions:

  • CVRF treatment was prevalent but heterogeneous and not always evidence-based.
  • Type 2 diabetes, previous cardiovascular disease, and obesity were associated with inadequate blood pressure control.
Abstract

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