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Published on: December 9, 2013

Sex differences in the hypertensive population with chronic ischemic heart disease

Vivencio Barrios1, Carlos Escobar, Vicente Bertomeu

  • 1Department of Cardiology, Hospital Ramón y Cajal, Madrid, Spain. vbarriosa@meditex.es

Journal of Clinical Hypertension (Greenwich, Conn.)
|December 19, 2008
PubMed

Insights

Clinical management of chronic ischemic heart disease and hypertension shows sex differences. Men had better blood pressure and LDL-C control rates, despite women presenting with more comorbidities.

Area of Science:

  • Cardiology
  • Clinical Medicine
  • Public Health

Background:

  • Chronic ischemic heart disease and hypertension are significant clinical challenges.
  • Understanding sex differences in management is crucial for optimizing patient outcomes.
  • The CINHTIA survey provides insights into current clinical practices in Spain.

Purpose of the Study:

  • To assess the clinical management of hypertensive patients with chronic ischemic heart disease.
  • To examine sex differences in patient characteristics and treatment outcomes.
  • To evaluate blood pressure and LDL-C control rates in this patient population.

Main Methods:

  • A nationwide survey (CINHTIA) of 2024 patients with hypertension and chronic ischemic heart disease.
  • Data collection on patient demographics, comorbidities, and management strategies.
  • Analysis of sex-based differences in clinical presentation and control rates.

Main Results:

  • Women were older, with higher BMI and more atrial fibrillation; men had higher rates of dyslipidemia, smoking, and peripheral arterial disease.
  • Diabetes, left ventricular hypertrophy, and heart failure were more prevalent in women.
  • Blood pressure and LDL-C control rates were significantly better in men (44.9% vs 30.5% and 33.0% vs 25.0%, respectively).
  • Men underwent stress testing and coronary angiography more frequently.

Conclusions:

  • Significant sex disparities exist in the clinical management of hypertensive patients with chronic ischemic heart disease.
  • Despite poorer control rates, men received more diagnostic procedures.
  • Further research is needed to address these sex differences and improve care for all patients.

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