ArticleJournal of human hypertension2009
Blood pressure control and drug therapy in patients with diagnosed hypertension: a survey in Italian general practice.
Article in Journal of human hypertension, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Regional and physician specialty-associated variations in the medical management of atherosclerotic renal-artery stenosis.Journal of the American Society of Hypertension : JASH · 2015Trial
- A titrate-to-goal study of switching patients uncontrolled on antihypertensive monotherapy to fixed-dose combinations of amlodipine and olmesartan medoxomil ± hydrochlorothiazide.Journal of clinical hypertension (Greenwich, Conn.) · 2011Trial
- Prescription of renin-angiotensin system inhibitors in Japan during the COVID-19 pandemic: interrupted time series study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Hypertension, uncontrolled hypertension and resistant hypertension: prevalence, comorbidities and prescribed medications in 228,406 adults resident in urban areas. A population-based observational study.Internal and emergency medicine · 2023Observational
- Hypertension Status and Associations with Self-Rated Health and General Practitioner Health Seeking in a Rural Australian Cohort.Journal of cardiovascular development and disease · 2018Article
- Recording blood pressure and eGFR in primary care after the Belgrade screening study.Renal failure · 2018Article
- Prevalence and control of hypertension in the general practice in Italy: updated analysis of a large database.Journal of human hypertension · 2017Article
- Prevalence and Control of Hypertension in Different Macro-Areas in Italy: Analysis of a Large Database by the General Practice.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2016Article
- Patient Adherence to Olmesartan/Amlodipine Combinations: Fixed Versus Extemporaneous Combinations.Journal of managed care & specialty pharmacy · 2016Article
- Lack of blood pressure control in Italy: room for improvement?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2015Article
- Why is my hypertensive patient still not controlled?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2015Article
- The approach of general practitioners in Lagos to the detection and evaluation of hypertension.Clinical hypertension · 2015Article
- How many hypertensive patients can be controlled in "real life": an improvement strategy in primary care.BMC family practice · 2013Article
- Billing code algorithms to identify cases of peripheral artery disease from administrative data.Journal of the American Medical Informatics Association : JAMIA · 2013Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Blood pressure (BP) control remains unsatisfactory worldwide. Better knowledge of BP management in clinical practice is needed to develop more effective improving strategies. Using a large Italian primary care database, we selected the subjects diagnosed with hypertension, and extracted the diagnosis of myocardial infarction, angina pectoris/coronary disease, stroke/transitory ischemic attack (TIA), heart failure, atrial fibrillation, peripheral arterial disease, diabetes mellitus, the serum total cholesterol, HDL cholesterol, triglycerides, creatinine, BP, electrocardiogram, weight, height and the prescription of cardiovascular (CV) drugs. Hypertension was recorded in 119.065 individuals (prevalence 19.3%), 19.134 (16%) had no ambulatory visit and 33.183 (27.8%) had no BP value recorded. Overall, 14.594 (21.9%) had at least one recorded diagnosis showing high CV risk. BP was controlled (mean of BP values <140/90 mm Hg) in 28.918 patients (16.690 women, 12 189 men and 40 gender not recorded), that is, 43.23% of the subjects with recorded BP. Among the non-controlled patients, 21.866 (57.8%) were non-high risk grade 1 (mean BP 142.5/84.5 mm Hg; s.d. 13.1/8.2) and 7.123 (18.8%) high-risk grade 1 hypertensives (mean BP 150/83 mm Hg; s.d. 6.2/7.2). Less than three drugs were prescribed in 29.919 (79.1%) of non-controlled patients. Low attendance rate, BP under-recording and suboptimal use of politherapy are major obstacles to hypertension control. Most uncontrolled individuals are low-CV risk, grade 1 hypertensive patients, for whom the personal benefit of adding another drug is modest. Aiming at the recommended BP target in uncontrolled grade 2-3 hypertensive/high-CV risk patients would probably require two additional drugs.
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