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Prevalence and Comorbidities of Resistant Hypertension: A Collaborative Population-Based Observational Study.
Simone Romano1, Chiara Idolazzi1, Cristiano Fava1
1Section of General Medicine and Hypertension, Department of Medicine, University of Verona, Policlinico GB Rossi, Piazzale LA Scuro 10, 37134, Verona, Italy.
Resistant hypertension affects 2.1% of adults, often linked to diabetes and heart disease. These patients face significant cardiovascular risks despite multiple treatments.
Area of Science:
- Cardiology
- Hypertension Research
- Public Health
Background:
- Resistant hypertension is a serious condition associated with elevated cardiovascular risk.
- Understanding its prevalence and associated factors is crucial for patient management.
Purpose of the Study:
- To determine the prevalence of resistant hypertension in the Verona urban area.
- To investigate the association between resistant hypertension and cardiovascular risk factors or diseases.
Main Methods:
- An observational study involving 17,502 adult subjects.
- Resistant hypertension defined as treatment with ≥4 antihypertensive medications.
- Clinical characteristics analyzed in a subsample of 55 patients.
Main Results:
- Hypertension prevalence was 21.9%; resistant hypertension was 2.1%.
- High rates of diabetes (53%), hyperlipidemia (83%), carotid stenosis (45%), ischemic heart disease (43%), and left ventricular hypertrophy (40%) were observed.
- Elevated blood pressure persisted in 58% of patients on multiple medications.
Conclusions:
- Resistant hypertension patients exhibit higher pressures and significant cardiovascular risk.
- High prevalence of risk factors, organ damage, and cardiovascular disease underscores the severity.
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