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[Hypertension and hypercholesterolemia in the Czech population]

Peter Wohlfahrt, Alena Krajčoviechová, Jan Bruthans

    Vnitrni Lekarstvi
    |January 28, 2017
    PubMed

    Insights

    Hypertension and hypercholesterolemia are common in the Czech Republic, with poor control in patients with both conditions. This highlights a need for better management of these cardiovascular risk factors.

    Area of Science:

    • Cardiology
    • Public Health
    • Epidemiology

    Background:

    • Hypertension and hypercholesterolemia are significant, interrelated cardiovascular risk factors.
    • Combined, they accelerate atherosclerosis and increase cardiovascular risk.
    • Assessing their prevalence and control is crucial for public health.

    Purpose of the Study:

    • To determine the prevalence of hypertension and hypercholesterolemia in the Czech population.
    • To evaluate the control of these risk factors, particularly when co-occurring.
    • To inform strategies for cardiovascular risk reduction.

    Main Methods:

    • A random sample of 2,508 individuals aged 40-64 was studied (2006-2009).
    • Hypertension defined by BP levels or medication use.
    • Hypercholesterolemia defined by LDL-cholesterol levels or lipid-lowering drug use.

    Main Results:

    • Prevalence: 52% hypertension, 40% hypercholesterolemia; 30% had both.
    • Treatment: 39% used lipid-lowering drugs among those with both conditions.
    • Control: Only 42% of treated individuals reached LDL targets; 10% achieved targets for both factors.

    Conclusions:

    • Control of hypercholesterolemia in hypertensive patients in the Czech Republic is inadequate.
    • High prevalence and synergistic risk necessitate considering lipid-lowering drugs for all hypertensive patients.
    • Improved management is essential to mitigate cardiovascular risk.
    Abstract

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