Between old and new targets: blood pressure control in hypertensive outpatients

Antonio Del Giudice, Andrea Fontana, Antonio Cicchella, Claudio Carmine Guida, Antonio Gesuete, Rachele Grifa, Antonio Mangiacotti, Filomena Miscio, Matteo Piemontese, Michele Prencipe, Michele Vergura, Massimiliano Copetti, Filippo Aucella

Research output: Contribution to journalArticle

Abstract

Objective: In developed countries, blood pressure (BP) control has increased over the past few decades and is now approaching 70% of patients. Herewith we report the results of a cross-sectional study carried out on hypertensive outpatients. Design and methods: In a cohort of 1,412 consecutive hypertensive outpatients (790 females, 622 males; mean age: 60.3±12.2 years) evaluated from January 2015 to December 2016, the following parameters were assessed: age, gender, body mass index (BMI), waist circumference (WC), smoking habits, BP in the sitting position, estimated glomerular filtration rate (eGFR), serum glucose, lipid profile, antihypertensive drugs prescribed. In agreement with the European guidelines, hypertension was defined as sitting BP ≥140/90 mmHg or use of antihypertensive drugs. Patients whose BP was <140/90 mmHg were considered as having achieved BP control. Furthermore, in compliance with the redefinition of hypertension suggested by the American College of Cardiology/American Heart Association (ACC/AHA), a second level of BP control (BP <130/80 mmHg) was evaluated. Results: Overall, 75.7% of hypertensive patients achieved BP levels <140/90 mmHg, while 50.5% achieved BP levels <130/80 mmHg. In both contexts, compared with patients whose BP was not controlled, those achieving the BP targets were mainly younger and females with a lower prevalence of obesity, diabetes and chronic kidney disease. Furthermore, they also had a lower WC and a higher eGFR. Conclusions: Nearly 76% of patients achieved the BP target of <140/90 mmHg, a result which is higher than the 70% achieved in Europe, and 50.6% achieved that of <130/80 mmHg, a result which is slightly higher than the 47% recently reported in USA.

Original languageEnglish
JournalGiornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia
Volume35
Issue number4
Publication statusPublished - Jul 1 2018

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Outpatients
Blood Pressure
Waist Circumference
Glomerular Filtration Rate
Antihypertensive Agents
Hypertension
Posture
Chronic Renal Insufficiency
Developed Countries
Habits
Body Mass Index
Obesity
Cross-Sectional Studies
Smoking
Guidelines
Lipids
Glucose
Serum

Keywords

  • Blood pressure
  • blood pressure control
  • hypertension

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Between old and new targets : blood pressure control in hypertensive outpatients. / Del Giudice, Antonio; Fontana, Andrea; Cicchella, Antonio; Guida, Claudio Carmine; Gesuete, Antonio; Grifa, Rachele; Mangiacotti, Antonio; Miscio, Filomena; Piemontese, Matteo; Prencipe, Michele; Vergura, Michele; Copetti, Massimiliano; Aucella, Filippo.

In: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, Vol. 35, No. 4, 01.07.2018.

Research output: Contribution to journalArticle

Del Giudice, A, Fontana, A, Cicchella, A, Guida, CC, Gesuete, A, Grifa, R, Mangiacotti, A, Miscio, F, Piemontese, M, Prencipe, M, Vergura, M, Copetti, M & Aucella, F 2018, 'Between old and new targets: blood pressure control in hypertensive outpatients', Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia, vol. 35, no. 4.
Del Giudice, Antonio ; Fontana, Andrea ; Cicchella, Antonio ; Guida, Claudio Carmine ; Gesuete, Antonio ; Grifa, Rachele ; Mangiacotti, Antonio ; Miscio, Filomena ; Piemontese, Matteo ; Prencipe, Michele ; Vergura, Michele ; Copetti, Massimiliano ; Aucella, Filippo. / Between old and new targets : blood pressure control in hypertensive outpatients. In: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia. 2018 ; Vol. 35, No. 4.
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AU - Del Giudice, Antonio

AU - Fontana, Andrea

AU - Cicchella, Antonio

AU - Guida, Claudio Carmine

AU - Gesuete, Antonio

AU - Grifa, Rachele

AU - Mangiacotti, Antonio

AU - Miscio, Filomena

AU - Piemontese, Matteo

AU - Prencipe, Michele

AU - Vergura, Michele

AU - Copetti, Massimiliano

AU - Aucella, Filippo

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N2 - Objective: In developed countries, blood pressure (BP) control has increased over the past few decades and is now approaching 70% of patients. Herewith we report the results of a cross-sectional study carried out on hypertensive outpatients. Design and methods: In a cohort of 1,412 consecutive hypertensive outpatients (790 females, 622 males; mean age: 60.3±12.2 years) evaluated from January 2015 to December 2016, the following parameters were assessed: age, gender, body mass index (BMI), waist circumference (WC), smoking habits, BP in the sitting position, estimated glomerular filtration rate (eGFR), serum glucose, lipid profile, antihypertensive drugs prescribed. In agreement with the European guidelines, hypertension was defined as sitting BP ≥140/90 mmHg or use of antihypertensive drugs. Patients whose BP was <140/90 mmHg were considered as having achieved BP control. Furthermore, in compliance with the redefinition of hypertension suggested by the American College of Cardiology/American Heart Association (ACC/AHA), a second level of BP control (BP <130/80 mmHg) was evaluated. Results: Overall, 75.7% of hypertensive patients achieved BP levels <140/90 mmHg, while 50.5% achieved BP levels <130/80 mmHg. In both contexts, compared with patients whose BP was not controlled, those achieving the BP targets were mainly younger and females with a lower prevalence of obesity, diabetes and chronic kidney disease. Furthermore, they also had a lower WC and a higher eGFR. Conclusions: Nearly 76% of patients achieved the BP target of <140/90 mmHg, a result which is higher than the 70% achieved in Europe, and 50.6% achieved that of <130/80 mmHg, a result which is slightly higher than the 47% recently reported in USA.

AB - Objective: In developed countries, blood pressure (BP) control has increased over the past few decades and is now approaching 70% of patients. Herewith we report the results of a cross-sectional study carried out on hypertensive outpatients. Design and methods: In a cohort of 1,412 consecutive hypertensive outpatients (790 females, 622 males; mean age: 60.3±12.2 years) evaluated from January 2015 to December 2016, the following parameters were assessed: age, gender, body mass index (BMI), waist circumference (WC), smoking habits, BP in the sitting position, estimated glomerular filtration rate (eGFR), serum glucose, lipid profile, antihypertensive drugs prescribed. In agreement with the European guidelines, hypertension was defined as sitting BP ≥140/90 mmHg or use of antihypertensive drugs. Patients whose BP was <140/90 mmHg were considered as having achieved BP control. Furthermore, in compliance with the redefinition of hypertension suggested by the American College of Cardiology/American Heart Association (ACC/AHA), a second level of BP control (BP <130/80 mmHg) was evaluated. Results: Overall, 75.7% of hypertensive patients achieved BP levels <140/90 mmHg, while 50.5% achieved BP levels <130/80 mmHg. In both contexts, compared with patients whose BP was not controlled, those achieving the BP targets were mainly younger and females with a lower prevalence of obesity, diabetes and chronic kidney disease. Furthermore, they also had a lower WC and a higher eGFR. Conclusions: Nearly 76% of patients achieved the BP target of <140/90 mmHg, a result which is higher than the 70% achieved in Europe, and 50.6% achieved that of <130/80 mmHg, a result which is slightly higher than the 47% recently reported in USA.

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