Resumen

MARQUEZ CONTRERAS, E. et al. Are hypertensive patients managed in primary care well evaluated and controlled?: HICAP Study. An. Med. Interna (Madrid) [online]. 2007, vol.24, n.7, pp.312-316. ISSN 0212-7199.

Objective: The HICAP study assessed the cardiovascular (CV) global risk and the CV risk factors control in hypertensive patients managed in Primary Care (PC) in Spain. Methods: Cross-sectional and multilocated study in which each investigator included data from 5 consecutives hypertensive patients. A routine laboratory test and a ECG from the previous 6 months had to be available for each patients CV global risk evaluation, blood pressure (BP) and diabetes control was based on ESH-ESC 2003; lipid profile evaluation was based on NCEP 2001 (ATP III). Results: 1288 PC physicians included 6719 hypertensive patients, and data from 6375 patients were analyzed. 64.5% (CI95%: 63.3-65.7) of the hypertensive patients managed in Primary Care showed a high or very high CV global risk. BP was controlled in 39.3% (CI95%: 38.1-40.5) of patients, 10.5% (CI95%: 9.1-11.9) among diabetics. 37.3% (CI95%: 35-38.7) of diabetics showed HbA1c < 6.5% and 18.8% (CI95%: 17.6-20) of dyslipidemic subjects had their LDL-c controlled. The control was lower among the patients at higher CV global risk. Conclusions: These results demostrate the high proportion of hypertensive patients that present a high CV global risk. The cardiovascular risk factors control, specially among patients at higher CV global risk, is insufficient.

Palabras clave : Hypertension; Control; Cardiovascular risk; Primary Care.

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