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Gender and hypertension management: a sub-analysis of the I-inSYST survey

Patricia Van der Niepen1, Dierik Verbeelen

  • 1Department of Nephrology and Hypertension, Universitair Ziekenhuis Brussel, Brussels, Belgium. hemovnnp@uzbrussel.be

Blood Pressure
|November 26, 2010
PubMed

Insights

Blood pressure control is similar in men and women, though women have fewer cardiovascular risks. However, antihypertensive drug treatment differs by gender, with women receiving more diuretics.

Area of Science:

  • Cardiology
  • Hypertension Research
  • Gender Health

Background:

  • Hypertension is a primary risk factor for cardiovascular disease (CVD), the leading cause of death in women.
  • Understanding gender-specific differences in hypertension management is crucial for effective CVD prevention.

Purpose of the Study:

  • To compare blood pressure control, cardiovascular risk factors, organ damage, and treatment patterns between genders in hypertensive patients.
  • To identify gender-based disparities in hypertension management within a primary care setting.

Main Methods:

  • Analysis of data from 11,562 patients (49% women) in the cross-sectional I-inSyst survey.
  • Evaluation of blood pressure control, prevalence of risk factors, organ damage, and prescribed antihypertensive medications stratified by gender.

Main Results:

  • Similar blood pressure control rates were observed in women (21.8%) and men (21.2%), despite women being slightly older.
  • Women exhibited fewer cardiovascular risk factors and organ damage, except for diabetes, cerebrovascular, and renal disease.
  • Women received more antihypertensive drugs, predominantly diuretics, while men were more likely to receive calcium-channel blockers and ACE inhibitors.

Conclusions:

  • Gender does not appear to be an independent factor influencing blood pressure control in treated hypertensive patients.
  • Women generally present with a lower burden of cardiovascular risk factors and organ damage compared to men.
  • Significant variations in antihypertensive medication prescribing exist between genders, warranting further investigation.

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