ArticleThe Canadian journal of cardiology2013
The impact of cardiovascular risk-factor profiles on blood pressure control rates in adults from Canada and the United States.
Article in The Canadian journal of cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE): 2014 update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Guideline
- Ups and downs of hypertension control in Canada: critical factors and lessons learned.Revista panamericana de salud publica = Pan American journal of public health · 2022Article
- Secular trends of ischaemic heart disease, stroke, and dementia in high-income countries from 1990 to 2017: the Global Burden of Disease Study 2017.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Article
- [São Paulo call to action for the prevention and control of high blood pressure: 2020Llamado a la acción de San Pablo para la prevención y el control de la hipertensión arterial, 2020].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- [São Paulo call to action for the prevention and control of high blood pressure: 2020Chamado à ação de São Paulo para prevenção e controle da hipertensão arterial: 2020].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Take urgent action diagnosing, treating, and controlling hypertension in older women.Canadian family physician Medecin de famille canadien · 2020Article
- Article
- São Paulo call to action for the prevention and control of high blood pressure: 2020.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- The 2015 Canadian Hypertension Education Program (CHEP) guidelines for pharmacists: An update.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2015Review
- Identification and evaluation of risk factors in patients with continuously uncontrolled hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2015Article
- Socioeconomic Impact on the Prevalence of Cardiovascular Risk Factors in Wallonia, Belgium: A Population-Based Study.BioMed research international · 2015Article
- Urgent need to increase the rates of diagnosing, treating and controlling hypertension in older women: A call for action.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
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11 authors.
Funding
Abstract
backgroundIt is unclear whether blood pressure control varies across the spectrum of atherosclerotic risk.
methodsWe used data from nonpregnant adults who had fasted laboratory samples drawn for the 2007-2009 cycle of the Canadian Health Measures Survey (CHMS) or the 2005-2008 US National Health and Nutrition Examination Survey (NHANES).
resultsThe 1692 CHMS subjects and 3541 NHANES participants were demographically similar (aged a mean of 45 years), although NHANES participants exhibited higher obesity rates (33.8% vs. 22.2%, P < 0.001). Over 80% of CHMS and NHANES subjects with hypertension had at least 1 other cardiovascular risk factor. As the number of atherosclerotic risk factors increased, hypertension prevalence increased, but blood pressure control rates improved (from 48% among hypertensives with no other risk factors in CHMS to 77% among those with 3 or more risk factors, and from 35% to 53% in NHANES). However, the converse was not true: The distribution of Framingham risk scores for those subjects with "controlled hypertension" was nearly identical to the distribution among those adults with uncontrolled hypertension in both CHMS and NHANES and substantially higher than scores in normotensive subjects.
conclusionsAlthough control of blood pressure was better in patients with multiple atherosclerotic risk factors, hypertensives with controlled blood pressures exhibited risk-factor profiles similar to those of participants with uncontrolled blood pressures. This suggests the need, in educational messaging and therapy decision making, for an increased focus on total atherosclerotic risk rather than just blood pressure control.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.