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Impact of 2021 ESC Guidelines for Cardiovascular Disease Prevention on Hypertensive Patients Risk: Secondary Analysis

Rita Del Pinto1,2,3, Corrado Giua4, Enrico Keber4

  • 1Department of Clinical Medicine, Public Health, Life and Environmental Sciences, University of L'Aquila, 67100, L'Aquila, Italy. rita.delpinto@univaq.it.

High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension
|March 11, 2023
PubMed

Insights

New European guidelines significantly increase cardiovascular disease risk assessment for hypertensive adults over 50. Effective risk factor management is crucial for preventing fatal and non-fatal cardiovascular events.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Background:

  • Cardiovascular diseases (CVD) represent a major global health challenge.
  • Effective CVD prevention necessitates managing modifiable and unmodifiable risk factors.

Purpose of the Study:

  • To evaluate cardiovascular risk and hypertension control rates in hypertensive adults aged ≥50 years using the 2021 European Society of Cardiology (ESC) guidelines.
  • To compare risk stratification and control rates with previous guidelines.

Main Methods:

  • Secondary analysis of data from the Save Your Heart study.
  • Inclusion of treated hypertensive adults aged ≥50 years.
  • Application of 2021 ESC guidelines for CVD risk assessment and hypertension control.

Main Results:

  • The proportion of individuals classified as high or very high cardiovascular risk increased from 48.7% to 77.1% with the new guidelines.
  • A trend towards lower hypertension control rates was observed under the 2021 guidelines compared to the 2018 edition.

Conclusions:

  • The 2021 European Guidelines identify a hypertensive population at very high risk of cardiovascular events.
  • Improved risk factor management is essential for patients and stakeholders to mitigate cardiovascular risk.
Abstract

Keywords:
ElderlyGuideline adherenceHeart disease risk factorsHypertension

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