Blood pressure control in an urban university center of hypertension care. A descriptive study.

SANCHEZ GELOS D.; OTERO-LOSADA M.; ETCHEGOYEN M.; MIRABELLI L.; GOMEZ-LLAMBI H.; AMBROSIO G; MILEI J.

Milano

Congreso; . 23rd. European Meeting on Hypertension and Cardiovascular Protection.; 2013

Eur Society of Hypertension

  OBJECTIVES. This study was conducted to assess: 1) the characteristics of a subset of patients attending an urban university center of hypertension care; 2) the therapeutic benefits concerning with blood pressure (BP) and morning surge reduction (MS).   METHODS. The 24-hour Spacelab 90207 ABPM (ambulatory blood pressure monitoring) recordings of consecutive patients attending the Hypertension Center were retrospectively examined. Exclusion criteria: under 18 years of age, less than 70% successful readings and/or more than 2hr without reading per 24-hr recording. Antropometrics, demographics, sleep schedules and therapeutic schemes documented at the time of monitoring were examined. Cut-off values for hypertension (BP in mmHg): 135/85 (day), 120/70 (night). MS was calculated as the difference between the average systolic BP (SBP) during 2 hours after waking and the average SBP during the hour showing the lowest SBP at night. Data were summarized based on central tendency measures and spread estimates of relevant factors. Between-group differences were evaluated by ANOVA followed by the LSD test (SPSS? 17.0).   RESULTS. 910 patients averaging 59±14 years old and 27.5±4.7kg/m2 BMI were evaluated: 57% women (61±13years, BMI 26.9±5.1) and 43% men (57±14 years, BMI 28.1±3.9). Among 573 patients (63%) treated with anti-hypertensive drugs (Treat): 176 had normal BP (Treat-NoHyp: 30.7%) while 397 showed no remission on hypertension (Treat-Hyp: 69.3%). The remaining 337 patients (37%) receiving no treatment (No-Treat) included 112 cases with normal BP (No-Treat-NoHyp: 33.2%) and 225 cases with hypertension (No-Treat-Hyp: 66.8%). Results are summarized in the following table: CONCLUSIONS. 1) Control of hypertension barely achieved 30.7% in treated patients. 2). Antihypertensive treatments failed to reduce MS increase in hypertensive patients.