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Prevalence and correlates of multiple organ damage in referred treated hypertensives: data from the ETODH study
C Cuspidi1, C Valerio, F Negri
1Clinical Research Unit, Department of Clinical Medicine and Prevention, University of Milano-Bicocca and Istituto Auxologico Italiano, Milano, Italy. cesare.cuspidi@unimib.it
Insights
A cluster of two or three markers of organ damage (OD) is more common in treated essential hypertension patients than single organ damage. This highlights the need for comprehensive OD evaluation in specialist hypertension clinics.
Area of Science:
- Cardiology
- Nephrology
- Vascular Medicine
Background:
- Essential hypertension is a leading cause of cardiovascular and renal disease.
- Previous studies have focused on single markers of organ damage (OD) in hypertensive patients.
- This study investigates the prevalence of clustered OD in a specialized outpatient hypertension clinic.
Discussion:
- A higher prevalence of clustered organ damage (two or three markers) was observed compared to single organ involvement.
- This finding suggests a more complex pathophysiological process in treated hypertensive patients.
- The presence of multiple OD markers indicates a higher risk profile.
Key Insights:
- Clustering of two or three organ damage markers is more prevalent than single organ involvement in treated essential hypertensives.
- Systematic evaluation of both cardiac and extracardiac organ damage is crucial.
- Specialist hypertension clinics are key settings for identifying patients with clustered OD.
Outlook:
- Further research should explore the clinical implications of clustered OD.
- Developing targeted interventions for patients with multiple OD markers is warranted.
- Integrating comprehensive OD screening into routine hypertension management is recommended.
Abstract:
This study, carried out in a large cohort of treated essential hypertensives attending an out-patient hospital hypertension clinic, extends previous observations by showing that a clustering of two or three markers of organ damage (OD) has a higher prevalence than a single organ involvement. These findings call for a systematic evaluation of cardiac and extracardiac OD in treated hypertensive patients referred to a specialist setting.
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