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Predictors of hypertension control in a diverse general cardiology practice

Adam D DeVore1, Matthew Sorrentino, Morton F Arnsdorf

  • 1Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. adevore@partners.org

Journal of Clinical Hypertension (Greenwich, Conn.)
|August 11, 2010
PubMed

Insights

Hypertension control is linked to private insurance, not smoking, and more medications. Knowing your blood pressure goal and control status also improves hypertension management.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Hypertension (HTN) control remains a significant public health challenge in the U.S.
  • Factors influencing hypertension management in diverse patient populations require further investigation.
  • Understanding predictors of HTN control is crucial for developing effective interventions.

Purpose of the Study:

  • To identify factors associated with hypertension control in patients attending a general cardiology practice.
  • To explore the relationship between demographic, clinical, and knowledge-based factors and HTN control.
  • To discover novel predictors for improving hypertension treatment strategies.

Main Methods:

  • A survey instrument was administered to 154 participants at a tertiary care center's cardiology practice.
  • Of the participants, 121 (78.6%) had diagnosed hypertension.
  • Multivariate analysis was used to assess factors associated with HTN control (defined as <140/90 mm Hg).

Main Results:

  • Hypertension control was achieved in 59.5% of patients with HTN.
  • Private insurance, nonsmoker status, and a higher number of medications were significantly associated with HTN control.
  • Race/ethnicity was not found to be associated with HTN control in this cohort.

Conclusions:

  • In a setting with high healthcare access, insurance type, smoking status, and medication count predict hypertension control.
  • Patient awareness of their systolic blood pressure goal and current HTN control status emerged as novel predictors.
  • These findings can inform the development of targeted interventions to enhance hypertension management.

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