Treatment of Patients with Hypertension in Consideration of their Global Cardiovascular Risk

DOI: 10.3238/zfa.2013.0311-0316

Eine Querschnittserhebung in 89 nordrheinischen Hausarztpraxen

german translation / full article

Heinz Harald Abholz, Karl Wegscheider, Jürgen in der Schmitten, Achim Mortsiefer, Martin Schumacher

Keywords: Cardiovascular Risk Prevention Arterial Hypertension Antihypertensive Drugs Family Practice

Cross-Sectional Study in 89 German Family Practices

Background: This analysis aims to describe and interpret treatment of patients with hypertension by their family practitioners in relation to individual cardiovascular risk (CVR).

Methods: Cross-sectional study with 3.355 patients from 89 German family practices. Results were differentiated according to three risk categories: primary prevention with „low CVR“ and „high CVR“, and secondary prevention.

Results: Blood pressure (BP) control 140/90 mmHg was achieved in 45,8 % ( 160/100: 84,2 %) overall; “low CVR”: 55 % (88,5 %), “high CVR”: 37 % (79,5 %), secondary prevention: 53 % (87,1 %). Betablockers were most frequently administered (57,7 %; single drug: 43,1 %), compared to diuretics with 48,8 % (6,7 %) and AT-1-antagonists 18,3 % (11,5 %).

Conclusions: Overall BP control is higher than in earlier studies; however, BP control of “high CVR” and secondary prevention groups shows potential for improvement. Betablockers and AT-1-antagonists were prescribed too often, and diuretics too rarely.

(State: 29.05.2015)

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