Blood pressure and other cardiovascular risk factors among treated hypertensives in Swedish primary health care

• OBJECTIVE: To evaluate antihypertensive treatment and other cardiovascular risk factors in primary health care.DESIGN: Cross-sectional survey of consecutive patients with treated hypertension in 1999.SETTING: 17 primary care centres in Sweden.SUBJECTS: 512 patients (mean age 67; SD 11 years).MAIN OUTCOME MEASURES: Antihypertensive treatment, cardiovascular risk factors.RESULTS: Patients with high diastolic BP (> or = 100 mmHg) and systolic BP (> 180 mmHg) values were few. The proportions with diastolic BP < 90, BP < 160/95 and < 140/90 mmHg were 64%, 54% and 15%. Mono-therapy was given in 51%, and > or = 3 drugs in 13%. Hypertensives with hyperlipidaemia were 42%, and only 26% of them were given lipid-lowering drugs, mainly statins, 21%. Smokers were 10%, 23% had diabetes, and many had overweight BMI = 25 kg/m2, 72%.CONCLUSION: Although two-thirds had diastolic BP < 90 mmHg, few had BP below the current treatment target < 140/90 mmHg. More than half of the hypertensives had at least one additional cardiovascular risk factor, and these hypertensives also had low proportions within several current treatment targets of hypertension and hyperlipidaemia, implying a need for intensified multiple risk factor intervention.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Keyword

Aged

Antihypertensive Agents/*therapeutic use

Blood Pressure/*drug effects

Cholesterol/blood

Cross-Sectional Studies

Female

Humans

Hyperlipidemias/complications/drug therapy

Hypertension/complications/*drug therapy/physiopathology

Lipids/blood/classification

Male

Middle Aged

Primary Health Care

Questionnaires

Risk Factors

Sweden

hyperlipidaemia

primary health care

hypertension

risk factors

Publication and Content Type

ref (subject category)

art (subject category)