[Factors affecting the control of blood pressure and lipid levels in patients with cardiovascular disease: the PREseAP Study].
The aim of this observational study was to identify factors influencing the control of blood pressure (i.e., <140/90 mmHg, or <130/80 mmHg in diabetic patients) and low-density lipoprotein (LDL) cholesterol level (<100 mg/dL) in 1223 patients with cardiovascular disease. Overall, 70.2% of patients were men, and their mean age was 66.4 years. Blood pressure was poorly controlled in 50.9% (95% confidence interval [CI], 46.9%-54.8%) and the LDL cholesterol level was poorly controlled in 60.1% (95% CI, 56.3%-63.9%). Determinants of poor blood pressure control were diabetes, hypertension, no previous diagnosis of heart failure, previous diagnosis of peripheral artery disease or stroke, obesity, and no lipid-lowering treatment. Determinants of poor LDL cholesterol control were no lipid-lowering treatment, no previous diagnosis of ischemic heart disease, no antihypertensive treatment, and dyslipidemia. The factors affecting blood pressure control were different from those affecting LDL cholesterol control, an observation that should be taken into account when implementing treatment recommendations for achieving therapeutic objectives in secondary prevention.
Orozco-Beltrán
Domingo
D
Centro de Salud San Blas, Alicante, Universidad Miguel Hernández, San Juan de Alicante, Alicante, España.
Brotons
Carlos
C
Moral
Irene
I
Soriano
Nuria
N
Del Valle
María A
MA
Rodríguez
Ana I
AI
Pepió
Josep M
JM
Pastor
Ana
A
D000368:Aged; D002318:Cardiovascular Diseases / Q000097:blood* / Q000150:complications / Q000628:therapy*; D008078:Cholesterol, LDL / Q000097:blood*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000517:prevention & control*; D008297:Male
D008078:Cholesterol, LDL