title: Blood pressure and other cardiovascular risk factors among treated hypertensives in Swedish primary health care.
abstract: OBJECTIVE
  To evaluate antihypertensive treatment and other cardiovascular risk factors in primary health care.
  
  
  METHODS
  Cross-sectional survey of consecutive patients with treated hypertension in 1999.
  
  
  METHODS
  17 primary care centres in Sweden.
  
  
  METHODS
  512 patients (mean age 67; SD 11 years).
  
  
  METHODS
  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%.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Family Medicine Section, Department of Public Health and Caring Sciences, University Hospital, Uppsala University, Uppsala, Sweden. jan.cederholm@pubcare.uu.se
authors.forename: Jan
authors.initials: J
authors.lastname: Cederholm
authors.forename: Peter M
authors.initials: PM
authors.lastname: Nilsson
authors.forename: Carl-Peter
authors.initials: CP
authors.lastname: Anderberg
authors.forename: Lars
authors.initials: L
authors.lastname: Fröberg
authors.forename: Ulla
authors.initials: U
authors.lastname: Petersson
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000188:drug therapy; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D008055:Lipids / Q000097:blood / Q000145:classification; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013548:Sweden
chemical_list: D000959:Antihypertensive Agents; D008055:Lipids; D002784:Cholesterol