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

Cederholm, JanUppsala universitet,Allmänmedicin och klinisk epidemiologi (författare)

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.

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
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

Nilsson, PeterLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups(Swepub:lu)medf-pni (författare)
Anderberg, CP (författare)
Fröberg, L (författare)
Petersson, UllaLund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups(Swepub:lu)smi-upe (författare)
Uppsala universitetAllmänmedicin och klinisk epidemiologi (creator_code:org_t)

Ingår i:Scandinavian Journal of Primary Health Care: Informa UK Limited20:4, s. 224-2290281-34321502-7724

Av författaren/redakt...: Cederholm, Jan; Nilsson, Peter; Anderberg, CP; Fröberg, L; Petersson, Ulla

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