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Ruilope M. Luis, Luque Manuel, Garcia Robles Rafael, Tamargo Juan, P-327: Goal BP in hospital located hypertension units, American Journal of Hypertension, Volume 14, Issue S1, April 2001, Page 138A, https://doi.org/10.1016/S0895-7061(01)01771-X
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Abstract
BP<140/90 mm Hg is considered a good control in treated essential hypertensives (EH). However in EH with a higher risk a lower level of BP (<130/85) should be achieved. The aim of this study was to investigate both the baseline cardiovascular risk, assessed according the WHO/ISH 99 criteria,and the level of BP control (mercury sphygmomanometer and OMRON 705 CP) after the first year of follow-up,in 3527 EH hypertensives (age 58.6 y, BMI 29.5 kg/m2; 50.6% males) followed in 47 HU in Spain.
At baseline 2755 (78.2%) EH had high or very high risk, 1174 (33.2%) with > 3 associated risk factors, TOD and/or diabetes, and 1507 (42.1%) with associated cardiovascular complications, and only 772 EH (21.8%) presented with low and medium risk. A conventional goal BP (<140/90) was attained in 1481 EH (42.1%). However, a more estrict control (BP<130/85) was attained only in 496 (18.5%) out of those needing that goal according the guidelines. Results were similar with either method of BP determination.
In the hospital located HU most of the patients presented with high or very high cardiovascular risk and their goal BP should be < 130/85 mmHg. With this criteria BP control in HU is as poor as that seen in population based studies.
