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.


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.
Cederholm
Jan
J
Family Medicine Section, Department of Public Health and Caring Sciences, University Hospital, Uppsala University, Uppsala, Sweden. jan.cederholm@pubcare.uu.se
Nilsson
Peter M
PM
Anderberg
Carl-Peter
CP
Fröberg
Lars
L
Petersson
Ulla
U
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
D000959:Antihypertensive Agents; D008055:Lipids; D002784:Cholesterol