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[Current status of blood pressure control in patients with coronary heart disease]

Yue Zhang1,2, Tian-Tian Wang1, Shu-Li Guo3

  • 1Medical School of Chinese PLA, Beijing 100853.

Zhongguo Ying Yong Sheng Li Xue Za Zhi = Zhongguo Yingyong Shenglixue Zazhi = Chinese Journal of Applied Physiology
|June 22, 2018
PubMed

Insights

Blood pressure control in Chinese patients with coronary heart disease (CHD) is insufficient. Coronary artery bypass grafting (CABG) may improve blood pressure more than percutaneous coronary intervention (PCI).

Area of Science:

  • Cardiology
  • Public Health
  • Hypertension Management

Background:

  • Coronary heart disease (CHD) poses a significant health burden in China.
  • Effective blood pressure control is crucial for managing CHD patients and preventing complications.

Purpose of the Study:

  • To assess blood pressure control levels in Chinese patients with CHD.
  • To identify factors influencing blood pressure management in this population.

Main Methods:

  • Retrospective analysis of CHD patients from 2011-2014.
  • Comparison of blood pressure compliance rates based on surgical methods (PCI vs. CABG), secondary preventive drug usage, and lifestyle factors (smoking, drinking, exercise).

Main Results:

  • Coronary artery bypass grafting (CABG) showed potentially better blood pressure reduction compared to percutaneous coronary intervention (PCI).
  • Patients with hypertension used secondary preventive drugs more frequently than those with normal blood pressure.
  • Smokers had lower blood pressure compliance rates than non-smokers; drinking and exercise showed no significant impact.

Conclusions:

  • Blood pressure control remains a challenge for CHD patients in China.
  • CABG may offer advantages over PCI for blood pressure management in CHD.
  • Smoking cessation and optimizing secondary preventive drug use are key strategies for improving blood pressure control.
Abstract

Keywords:
CABGPCIcoronary heart diseasedrughypertensionlifestylesecondary prevention

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