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[Cardiovascular risk profile of uncontrolled hypertensive patients. The Control-Project study]

Emilio Márquez-Contreras1, Antonio Coca, Mariano de la Figuera von Wichmann

  • 1Centro de Salud la Orden, Huelva, Spain. emarquezc@papps.org

Medicina Clinica
|February 10, 2007
PubMed

Insights

Uncontrolled hypertension in Spanish primary care patients poses a significant cardiovascular risk, with most patients exhibiting high or very-high risk. Physician management remains conservative, often involving additional medications.

Area of Science:

  • Cardiology
  • Public Health
  • General Practice

Context:

  • Assesses absolute cardiovascular risk and comorbidities in uncontrolled hypertensive patients in Spanish primary care.
  • Evaluates primary care physician attitudes towards managing hypertension.
  • Utilizes ESH-ESC 2003 Guidelines for risk assessment.

Purpose:

  • To determine the prevalence of uncontrolled hypertension and associated cardiovascular risks.
  • To understand physician perspectives and management strategies for these patients.
  • To identify gaps in cardiovascular risk management in primary care settings.

Summary:

  • A multicenter study of 1,413 uncontrolled hypertensive patients in Spain revealed that 65% are at high or very-high cardiovascular risk.
  • High prevalence of risk factors (96.0%), target organ damage (34.5%), and clinical cardiovascular disease (36.0%) were observed.
  • Physicians often maintained conservative therapeutic approaches, with 30.4% of patients experiencing no treatment changes, frequently attributing poor control to lifestyle non-compliance.

Impact:

  • Highlights the critical need for improved cardiovascular risk management in primary care for hypertensive patients.
  • Underscores the importance of physician education and updated treatment protocols.
  • Provides data to inform public health strategies aimed at reducing cardiovascular disease burden.
Abstract

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