Abstract

Hypertension is but one of several risk factors that must be controlled to optimally reduce cardiovascular risk. Previous surveys of our tertiary (mostly referral) clinic have shown a high prevalence of controlled hypertension ( >67% at BP < 140/90 mm Hg, using HEDIS 3.5 criteria). To examine the prevalence and control of other risk factors in the same population, a chart survey was performed for 280 consecutive patients meeting HEDIS 3.5 criteria for inclusion, who were seen in 1999-2000. The prevalence (and control, as appropriate) of other risk factors is as shown (See Table)

Outcome measureNumber of charts measured/possiblePrevalence
Renal function278/28099%
Proteinuria276/28099%
LDL-c* measured242/28086%
LDL-c < 130 mg/dl230/28082%
LDL-c<NCEP goal146/28052%
Triglycerides<250 mg/dl256/28091%
HgbA1c # measured27/7038%
HgbA1c<7%11/2740%
Outcome measureNumber of charts measured/possiblePrevalence
Renal function278/28099%
Proteinuria276/28099%
LDL-c* measured242/28086%
LDL-c < 130 mg/dl230/28082%
LDL-c<NCEP goal146/28052%
Triglycerides<250 mg/dl256/28091%
HgbA1c # measured27/7038%
HgbA1c<7%11/2740%
*

Low density lipoprotein cholesterol

#

Glycosylated hemoglobin

Outcome measureNumber of charts measured/possiblePrevalence
Renal function278/28099%
Proteinuria276/28099%
LDL-c* measured242/28086%
LDL-c < 130 mg/dl230/28082%
LDL-c<NCEP goal146/28052%
Triglycerides<250 mg/dl256/28091%
HgbA1c # measured27/7038%
HgbA1c<7%11/2740%
Outcome measureNumber of charts measured/possiblePrevalence
Renal function278/28099%
Proteinuria276/28099%
LDL-c* measured242/28086%
LDL-c < 130 mg/dl230/28082%
LDL-c<NCEP goal146/28052%
Triglycerides<250 mg/dl256/28091%
HgbA1c # measured27/7038%
HgbA1c<7%11/2740%
*

Low density lipoprotein cholesterol

#

Glycosylated hemoglobin

Although there are no comparable data from other clinics about these parameters, these data suggest that hypertension specialists commonly investigate other cardiovascular risk factors, and make a reasonable effort to control them.

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