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[Prevalence and risk of developing heart failure in hypertensive patients managed in Spanish primary care centres.
B de Rivas1, J A Divisón, E Sobreviela
1Departamento Médico, AstraZeneca, Madrid, España. beatriz.derivas@astrazeneca.com
Insights
A significant proportion of hypertensive patients in Spanish primary care have heart failure (HF) or are at high risk. Improved blood pressure and cardiovascular risk factor control are crucial for preventing HF in these patients.
Area of Science:
- Cardiology
- Primary Care Medicine
- Hypertension Management
Context:
- Heart failure (HF) is a growing concern in primary care settings.
- Hypertension is a major risk factor for HF development.
- Effective management of hypertension and cardiovascular risk factors is essential in primary care.
Purpose:
- To determine the prevalence of diagnosed heart failure (HF) among hypertensive patients.
- To assess the proportion of hypertensive patients at high risk for developing HF.
- To evaluate cardiovascular risk factor control in high-risk hypertensive patients within Spanish primary care.
Summary:
- This observational, multicentre study analyzed data from 6,375 hypertensive patients in Spain.
- 18.9% of patients had a diagnosed heart failure, with prevalence increasing with age.
- Among those without diagnosed HF, 59.1% were identified as high risk, with insufficient control of blood pressure and other cardiovascular risk factors.
Impact:
- Highlights a high burden of heart failure and high-risk individuals within primary care.
- Underscores the need for enhanced strategies to manage blood pressure and cardiovascular risk factors.
- Emphasizes the importance of proactive HF prevention in hypertensive populations in primary care settings.
Objective:
The objective was to establish the proportion of hypertensive patients diagnosed with heart failure (HF) and at high risk of developing it in Primary Care (PC) centres in Spain.
Methods:
Observational, multicentre study. Each investigator included data from 5 consecutive hypertensive patients. A routine laboratory test and a electrocardiogram performed in the previous 6 months had to be available for each patient.
Results:
Data from 6,375 patients were suitable for the study objectives. The proportion of patients diagnosed with HF was 18.9% (95% confidence interval: 17.97-19.90%), and increased with age. Among the patients not previously diagnosed with HF, 59.1% (95%CI: 57.7-60.5%) had a high risk of developing it. Blood pressure and other cardiovascular risk factors control in high risk patients was insufficient.
Conclusion:
The proportion of hypertensive patients diagnosed with HF and at high risk for developing it is high in PC. Blood pressure and other cardiovascular risk factors control should be improved to avoid the development of HF among high risk patients.
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