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[Factors associated with uncontrolled hypertension in patients with and without cardiovascular disease]

Alberto Cordero1, Vicente Bertomeu-Martínez, Pilar Mazón

  • 1Departamento de Cardiología, Hospital Universitario de San Juan, 3550 Sant Joan d'Alacant, Alicante, Spain. acorderofort@gmail.com

Revista Espanola De Cardiologia
|June 7, 2011
PubMed

Insights

Nearly half of patients with hypertension have uncontrolled blood pressure (BP). Lifestyle factors like obesity and smoking are independently linked to poor BP control, even in those with cardiovascular disease (CVD).

Area of Science:

  • Cardiology
  • Hypertension Research
  • Public Health

Context:

  • Hypertension is a leading modifiable risk factor for cardiovascular disease (CVD).
  • Effective blood pressure (BP) control remains a challenge, particularly in patients with existing CVD.
  • Understanding BP control rates and associated risk factors is crucial for clinical practice.

Purpose:

  • To determine the rate of blood pressure (BP) control in a large cohort of hypertensive patients.
  • To identify risk factors associated with uncontrolled BP, both in patients with and without cardiovascular disease (CVD).

Summary:

  • A multicenter registry of 10,743 hypertensive patients found 55.4% achieved controlled BP (<140/90 mmHg).
  • Uncontrolled BP was associated with male sex, active smoking, obesity, diabetes, and higher levels of glucose, cholesterol, LDL, and uric acid.
  • Obesity and current smoking were independent predictors of uncontrolled BP, irrespective of CVD status.

Impact:

  • Findings highlight the significant proportion of hypertensive patients with suboptimal BP control.
  • Emphasizes the critical role of lifestyle modifications, specifically smoking cessation and weight management, in improving hypertension management.
  • Informs targeted interventions for high-risk populations, including those with established cardiovascular disease.
Abstract

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