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[Resistant arterial hypertension in Primary Care patients in Spain. PRESCAP Study 2010].

Authors :
Cinza-Sanjurjo S
Alonso-Moreno FJ
Prieto-Díaz MÁ
Divisón-Garrote JA
Rodríguez-Roca GC
Llisterri-Caro JL
Source :
Semergen [Semergen] 2015 Apr; Vol. 41 (3), pp. 123-30. Date of Electronic Publication: 2014 Apr 24.
Publication Year :
2015

Abstract

Objective: To determine the prevalence and clinical and epidemiological characteristics of Primary Care patients with resistant hypertension (RHT) in Spain.<br />Patients and Methods: A cross-sectional multicenter study was conducted on hypertensive patients aged 18 or over and seen in a Primary Care clinic. RHT was considered as the presence of uncontrolled blood pressure in patients treated with at least 3 drugs, one of which is a diuretic.<br />Results: Of the 12,961 hypertensive patients in the PRESCAP 2010 study, 962 (7.4%) fulfilled criteria for RHT, of whom 51% were women, and with a mean age (SD) 68.8 [11.4] years. Patients with RHT were older (68.80 [10.69] years vs. 66.06 [11.44] years, P<.001), had a higher prevalence of obesity (55.2 vs. 38.6%, P<.001), a higher waist circumference (103.90 [13.89] vs. 99.32 [13.69] cm, P<.001), and a higher prevalence of DM (48.3 vs. 29.5%, P<.001). The prevalence of target organ damage (73.0 vs. 61.4%, P<.001) and cardiovascular disease (46.7 vs. 26.8%, P<.001) were higher in patients with resistant hypertension. The multivariate analysis showed that the variables associated with resistant hypertension were the presence of cardiovascular disease, diabetes mellitus, sedentary life style, microalbuminuria, body mass index, duration of AHT, and triglycerides.<br />Conclusions: The prevalence of RHT in Primary Care patients is related to inappropriate lifestyles, the presence of target organ damage, and cardiovascular disease.<br /> (Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.)

Details

Language :
Spanish; Castilian
ISSN :
1578-8865
Volume :
41
Issue :
3
Database :
MEDLINE
Journal :
Semergen
Publication Type :
Academic Journal
Accession number :
24768029
Full Text :
https://doi.org/10.1016/j.semerg.2014.02.014