Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study
ObjectivesTo determine the clinical profile, according to the history of hypertension, the risk of developing hypertension, current antihypertensive treatment and BP control rates in patients with hypertension from the IBERICAN cohort.MethodsIBERICAN is an ongoing prospective cohort study, whose pri...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1295174/full |
| _version_ | 1797384725917073408 |
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| author | Miguel A. Prieto-Díaz Miguel A. Prieto-Díaz Vicente Pallares-Carratala Vicente Pallares-Carratala Rafael Manuel Micó-Pérez Carlos Escobar-Cervantes Vicente Martín-Sanchez Antonio Coca Alfonso Barquilla-García Sonsoles M. Velilla-Zancada José Polo-García Antonio Segura-Fragoso Leovigildo Ginel-Mendoza Álvaro Hermida-Ameijerias Sergio Cinza-Sanjurjo Sergio Cinza-Sanjurjo the Investigators of the IBERICAN study and of the Spanish Society of Primary Care Physicians SEMERGEN Foundation |
| author_facet | Miguel A. Prieto-Díaz Miguel A. Prieto-Díaz Vicente Pallares-Carratala Vicente Pallares-Carratala Rafael Manuel Micó-Pérez Carlos Escobar-Cervantes Vicente Martín-Sanchez Antonio Coca Alfonso Barquilla-García Sonsoles M. Velilla-Zancada José Polo-García Antonio Segura-Fragoso Leovigildo Ginel-Mendoza Álvaro Hermida-Ameijerias Sergio Cinza-Sanjurjo Sergio Cinza-Sanjurjo the Investigators of the IBERICAN study and of the Spanish Society of Primary Care Physicians SEMERGEN Foundation |
| author_sort | Miguel A. Prieto-Díaz |
| collection | DOAJ |
| description | ObjectivesTo determine the clinical profile, according to the history of hypertension, the risk of developing hypertension, current antihypertensive treatment and BP control rates in patients with hypertension from the IBERICAN cohort.MethodsIBERICAN is an ongoing prospective cohort study, whose primary objective is to determine the frequency, incidence, and distribution of CVRF in the adult Spanish population seen in primary care settings. This analysis shows the baseline clinical characteristics of patients with hypertension. Adequate BP control was defined as BP <140/90 mmHg according to 2013 ESH/ESC guidelines.ResultsA total of 8,066 patients were consecutively included, of whom 3,860 (48.0%) had hypertension. These patients were older (65.8 ± 10.9 vs. 51.6 ± 14.7 years; p < 0.001), had more cardiovascular risk factors, target organ damage and cardiovascular disease (CVD) in comparison with those without hypertension. The risk of hypertension increased with the presence of associated CV risk factors and comorbidities, particularly diabetes, obesity and the metabolic syndrome, and decreased with the intensity of physical activity. Regarding antihypertensive treatments, 6.1% of patients did not take any medication, 38.8% were taking one antihypertensive drug, 35.5% two drugs, and 19.6% three or more antihypertensive drugs. Overall, 58.3% achieved BP goals <140/90 mmHg. A greater probability of BP control was observed with increasing age of patients and the greater number of antihypertensive drugs. Blood pressure control was lower in hypertensive patients with diabetes, obesity, the metabolic syndrome, increased urinary albumin excretion, higher pulse pressure, and lack of antihypertensive treatment.ConclusionsAbout half of patients attended in primary care settings have hypertension in Spain. Patients with hypertension have a worse CV clinical profile than non-hypertensive patients, with greater association of CVRF and CVD. Around four out of ten patients do not achieve the recommended BP goals, and higher use of combination therapies is associated with a better BP control. |
| first_indexed | 2024-03-08T21:42:48Z |
| format | Article |
| id | doaj.art-1c83af5f15e047c3b8b9756eee82b444 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-08T21:42:48Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-1c83af5f15e047c3b8b9756eee82b4442023-12-20T13:32:33ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.12951741295174Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN studyMiguel A. Prieto-Díaz0Miguel A. Prieto-Díaz1Vicente Pallares-Carratala2Vicente Pallares-Carratala3Rafael Manuel Micó-Pérez4Carlos Escobar-Cervantes5Vicente Martín-Sanchez6Antonio Coca7Alfonso Barquilla-García8Sonsoles M. Velilla-Zancada9José Polo-García10Antonio Segura-Fragoso11Leovigildo Ginel-Mendoza12Álvaro Hermida-Ameijerias13Sergio Cinza-Sanjurjo14Sergio Cinza-Sanjurjo15the Investigators of the IBERICAN study and of the Spanish Society of Primary Care Physicians SEMERGEN FoundationVallobín-La Florida Health Center, Principality of Asturias Health Service, Oviedo, SpainFaculty of Medicine, University of Santiago de Compostela, A Coruña, SpainHealth Surveillance Unit, Mutual Insurance Union, Castellon, SpainDepartment of Medicine, Jaume I University, Castellon, SpainXàtiva–Ontinyent Department of Health, Fontanars Dels Alforins Health Center, Valencia, SpainCardiology Service, La Paz University Hospital, Madrid, SpainInstitute of Biomedicine (IBIOMED), Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), University of León, León, SpainHypertension and Vascular Risk Unit, Department of Internal Medicine, Hospital Clínic, University of Barcelona, Barcelona, SpainTrujillo Health Center, Extremadura Health Service, Cáceres, Spain0Joaquin Elizalde Health Center, Rioja Health Service, Logroño, Spain1Casar de Cáceres Health Center, Extremadura Health Service, Cáceres, Spain2Epidemiology Unit, Semergen Research Agency, Madrid, Spain3Ciudad Jardín Health Center, Andalusia Health Service, Málaga, Spain4Department of Internal Medicine, University Hospital of Santiago de Compostela, Coruña, Spain5Milladoiro Health Centre, Health Area of Santiago de Compostela, Health Research Institute of Santiago de Compostela (IDIS), A Coruña, Spain6Networking Biomedical Research, Centre-Cardiovascular Diseases (CIBERCV), Santiago de Compostela, SpainObjectivesTo determine the clinical profile, according to the history of hypertension, the risk of developing hypertension, current antihypertensive treatment and BP control rates in patients with hypertension from the IBERICAN cohort.MethodsIBERICAN is an ongoing prospective cohort study, whose primary objective is to determine the frequency, incidence, and distribution of CVRF in the adult Spanish population seen in primary care settings. This analysis shows the baseline clinical characteristics of patients with hypertension. Adequate BP control was defined as BP <140/90 mmHg according to 2013 ESH/ESC guidelines.ResultsA total of 8,066 patients were consecutively included, of whom 3,860 (48.0%) had hypertension. These patients were older (65.8 ± 10.9 vs. 51.6 ± 14.7 years; p < 0.001), had more cardiovascular risk factors, target organ damage and cardiovascular disease (CVD) in comparison with those without hypertension. The risk of hypertension increased with the presence of associated CV risk factors and comorbidities, particularly diabetes, obesity and the metabolic syndrome, and decreased with the intensity of physical activity. Regarding antihypertensive treatments, 6.1% of patients did not take any medication, 38.8% were taking one antihypertensive drug, 35.5% two drugs, and 19.6% three or more antihypertensive drugs. Overall, 58.3% achieved BP goals <140/90 mmHg. A greater probability of BP control was observed with increasing age of patients and the greater number of antihypertensive drugs. Blood pressure control was lower in hypertensive patients with diabetes, obesity, the metabolic syndrome, increased urinary albumin excretion, higher pulse pressure, and lack of antihypertensive treatment.ConclusionsAbout half of patients attended in primary care settings have hypertension in Spain. Patients with hypertension have a worse CV clinical profile than non-hypertensive patients, with greater association of CVRF and CVD. Around four out of ten patients do not achieve the recommended BP goals, and higher use of combination therapies is associated with a better BP control.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1295174/fullblood pressurecombined therapyhypertensionprimary carecardiovascular risk |
| spellingShingle | Miguel A. Prieto-Díaz Miguel A. Prieto-Díaz Vicente Pallares-Carratala Vicente Pallares-Carratala Rafael Manuel Micó-Pérez Carlos Escobar-Cervantes Vicente Martín-Sanchez Antonio Coca Alfonso Barquilla-García Sonsoles M. Velilla-Zancada José Polo-García Antonio Segura-Fragoso Leovigildo Ginel-Mendoza Álvaro Hermida-Ameijerias Sergio Cinza-Sanjurjo Sergio Cinza-Sanjurjo the Investigators of the IBERICAN study and of the Spanish Society of Primary Care Physicians SEMERGEN Foundation Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study Frontiers in Cardiovascular Medicine blood pressure combined therapy hypertension primary care cardiovascular risk |
| title | Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study |
| title_full | Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study |
| title_fullStr | Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study |
| title_full_unstemmed | Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study |
| title_short | Clinical characteristics, treatment, and blood pressure control in patients with hypertension seen by primary care physicians in Spain: the IBERICAN study |
| title_sort | clinical characteristics treatment and blood pressure control in patients with hypertension seen by primary care physicians in spain the iberican study |
| topic | blood pressure combined therapy hypertension primary care cardiovascular risk |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1295174/full |
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