Treatment of Patients with Hypertension in Consideration of their Global Cardiovascular Risk
Eine Querschnittserhebung in 89 nordrheinischen Hausarztpraxengerman translation / full article
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.