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[Blood pressure control in hypertensive patients with left ventricular hypertrophy. The VIIDA Study]

Vicente Bertomeu1, Lorenzo Fácila, José R González-Juanatey

  • 1Servicio de Cardiología, Hospital San Juan de Alicante, Alicante, España.

Revista Espanola De Cardiologia
|December 18, 2007
PubMed

Insights

Blood pressure control is poor in hypertensive patients with left ventricular hypertrophy (LVH), especially those with diabetes. Factors like female sex and higher BMI predict poor control, while cardiovascular disease history is linked to better control.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Electrocardiography

Context:

  • Left ventricular hypertrophy (LVH) is common in hypertensive patients attending cardiology clinics.
  • Comorbid conditions, particularly diabetes, are prevalent in this population.
  • Electrocardiogram (ECG) is used for LVH detection.

Purpose:

  • To assess blood pressure (BP) control effectiveness in hypertensive patients with ECG-detected LVH.
  • To identify variables associated with poor BP control, with a focus on diabetic patients.

Summary:

  • A high prevalence of LVH was observed in 16,123 hypertensive patients (25.04%).
  • BP control was suboptimal, with only 8.1% of diabetic patients achieving target BP (<130/80 mmHg) compared to 22.4% of non-diabetics.
  • Independent predictors of poor BP control included diabetes, female sex, increased V5 voltage, and higher BMI. Cardiovascular disease history was associated with better control.

Impact:

  • Highlights the significant challenge of BP management in hypertensive patients with LVH, particularly those with diabetes.
  • Identifies key demographic and clinical factors influencing BP control, aiding targeted interventions.
  • Underscores the need for improved hypertension management strategies in this high-risk patient group.
Abstract

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