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[Are hypertensive patients managed in primary care well evaluated and controlled? HICAP Study]

E Márquez Contreras1, B de Rivas Otero, J A Divisón Garrote

  • 1Centro de Salud La Orden. Huelva. Spain.

Anales De Medicina Interna (Madrid, Spain : 1984)
|November 21, 2007
PubMed

Insights

Many hypertensive patients in Spain have high cardiovascular risk. Control of blood pressure and other risk factors is insufficient, particularly for those at highest risk.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Public Health

Context:

  • Hypertension management in Spain.
  • Assessment of cardiovascular (CV) global risk and risk factor control.
  • Primary Care (PC) setting.

Purpose:

  • To assess the CV global risk and CV risk factor control in hypertensive patients managed in PC in Spain.
  • Evaluate blood pressure (BP), diabetes, and lipid profile control.
  • Identify disparities in risk control among different patient groups.

Summary:

  • The HICAP study analyzed data from 6375 hypertensive patients managed in Spanish PC.
  • 64.5% of patients exhibited high or very high CV global risk.
  • Blood pressure control was achieved in only 39.3% of patients, with lower rates among diabetics (10.5%).
  • Diabetes control (HbA1c < 6.5%) was observed in 37.3% of diabetics, and LDL-c control in 18.8% of dyslipidemic patients.
  • Control of CV risk factors was insufficient, especially in patients with higher CV global risk.

Impact:

  • Highlights the significant burden of high CV risk in hypertensive patients within Spanish PC.
  • Underscores the urgent need for improved CV risk factor management strategies.
  • Provides data to inform clinical guidelines and public health initiatives for hypertension care.
Abstract

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