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Published on: September 26, 2018

Burden of systemic hypertension in patients admitted to cardiology hospitalization units

Alberto Cordero1, Vicente Bertomeu-González, José Moreno-Arribas

  • 1Cardiology Department, Hospital Universitario de San Juan, Alicante, Spain. acorderofort@gmail.com

The American Journal of Cardiology
|August 30, 2011
PubMed

Insights

Hypertension significantly increases readmission and mortality risks in cardiology patients. This study found that patients with a history of hypertension experienced higher rates of cardiac rehospitalization and death within one year.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Hypertension is a leading cardiovascular risk factor.
  • Conflicting evidence exists regarding hypertension's impact on prognosis in patients with existing cardiovascular disease.

Purpose of the Study:

  • To evaluate the effect of hypertension on readmission and one-year mortality in cardiology inpatients.

Main Methods:

  • Prospective study of 1,007 cardiology inpatients with 1-year follow-up.
  • Data collected included clinical history, risk factors, and discharge diagnoses.
  • Multivariate analysis was used to identify independent risk factors.

Main Results:

  • 69% of patients had a history of hypertension, presenting with older age and more comorbidities.
  • Hypertensive patients showed significantly higher rates of cardiac rehospitalization (31.1% vs 17.9%) and total mortality (17.4% vs 9.3%).
  • Hypertension was an independent predictor of cardiovascular readmission and a combined endpoint of readmission or mortality.

Conclusions:

  • Hypertension is highly prevalent in cardiology admissions.
  • Pre-existing hypertension is associated with increased one-year rehospitalization and mortality risks in this patient population.

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