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[Risk factors in hypertensive patients without previous cardiovascular events]

Alejandro de la Sierra1, Diego González-Segura,

  • 1Servicio de Medicina Interna, Hospital Mutua Terrassa, Universidad de Barcelona, Terrassa, Barcelona, España. adelasierra@mutuaterrassa.es

Medicina Clinica
|March 15, 2011
PubMed

Insights

Most hypertensive patients have high cardiovascular risk, largely due to lipid abnormalities. Addressing these lipid issues significantly lowers overall cardiovascular risk categorization in many individuals.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Cardiovascular Risk Stratification

Context:

  • Current guidelines emphasize total cardiovascular risk over blood pressure alone.
  • Hypertensive patients without prior events require comprehensive risk assessment.
  • Understanding risk factor distribution is crucial for effective management.

Purpose:

  • To assess cardiovascular risk category distribution in treated hypertensive patients.
  • To identify the prevalence of individual risk factors and target organ damage.
  • To quantify the impact of specific risk factors on overall risk categorization.

Summary:

  • A multicentre study of 6,762 hypertensive patients revealed most are high or very-high risk.
  • Lipid alterations were the most prevalent factor (73.6%), followed by advanced age and abdominal obesity.
  • Target organ damage included renal dysfunction (24.1%) and left ventricular hypertrophy (16.4%).

Impact:

  • Lipid abnormalities significantly impact risk categorization, with 29% of patients reclassified if absent.
  • Addressing lipid abnormalities is key for accurate cardiovascular risk assessment in hypertension.
  • This highlights the critical role of lipid management in reducing cardiovascular risk.
Abstract

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