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. 2009;18(3):117-25.
doi: 10.1080/08037050902982292.

Cardiovascular risk and blood pressure control in a Spanish hypertensive population attended in a Primary Care setting. Data from the PRESCAP 2006 study

Gustavo C Rodriguez-Roca  1 , Jose L Llisterri-Caro, Vivencio Barrios-Alonso, Francisco J Alonso-Moreno, Salvador Lou-Arnal, Miguel A Prieto-Diaz, Tomas Sanchez-Ruiz, Rafael Dura-Belinchon, Jose A Santos-Rodriguez, Juan A Divison-Garrote, Diego Gonzalez-Segura, Jose R Banegas-Banegas; Working Group of Arterial Hypertension of the Spanish Society of Primary Care Physicians (group HTA/SEMERGEN); PRESCAP 2006 Investigators
Collaborators, Affiliations
Free article

Cardiovascular risk and blood pressure control in a Spanish hypertensive population attended in a Primary Care setting. Data from the PRESCAP 2006 study

Gustavo C Rodriguez-Roca et al. Blood Press. 2009.
Free article

Abstract

Aims: To analyse the cardiovascular risk of a broad sample of hypertensive patients and to examine whether there are differences in blood pressure control and associated factors according to the different cardiovascular risk categories.

Major findings: A total of 10,520 patients > or = 18 years old were included (mean age 64.6+/-11.3 years; 53.7% women). In this cohort, 3.3% were average risk, 22.6% low added risk, 22.2% moderate added risk, 33.5% high added risk and 18.4% very high added risk. Blood pressure was controlled in 41.4% (95% CI 40.5-42.4) of the total population, in 91.7% of patients with low added risk, in 19.4% with moderate added risk, in 27.4% with high added risk and in 6.8% with very high added risk. Diabetes was the factor most strongly associated with poor blood pressure control in patients with high to very high added risk (OR=7.2; p<0.0001).

Principal conclusion: More than half of the hypertensive patients treated in primary health care have a high or very high added cardiovascular risk. In these patients, blood pressure control is inadequate and diabetes is associated with a sevenfold increase in the likelihood of poor blood pressure control.

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