HYT-Hypertension in Turkey: A Cross-Sectional Survey on Blood Pressure Control with Calcium Channel Blockers Alone or Combined with Other Antihypertensive Drugs

Gino Seravalle, Nevrez Koylan, Istemi Nalbantgil, Nail Caglar, Fosca Quarti-Trevano, Wim Makel, Guido Grassi, Francesco Fici

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Although improved during the past few years, high blood pressure control still remains an unmet goal of antihypertensive drug treatment. Among different antihypertensive agents, calcium channel blockers (CCBs), either as monotherapy or in combination with other drugs are recommended by several guidelines for initiation and maintenance of antihypertensive treatment. Aim: The HYT-HYperTension survey, carried out in Turkey was aimed to assess (a) blood pressure control in hypertensive patients under treatment with dihydropyridine CCBs, either as monotherapy or in combination with other drugs and (b) the prevalence of blood pressure control in subgroups of patients with cardiovascular risk factors (previous cardiovascular disease, diabetes, renal disease, isolated systolic hypertension, visceral obesity, overweight, current smoking habit). Methods: More than 7000 hypertensive patients (60.0 % men, mean age 61.2 ± 11.5 years), routinely visited by either a specialist or a non-specialist physician in the Primary Care Units of 26 cities across Turkey, were enrolled in the survey. Only patients treated with dihydropyridine-type CCBs, as mono- or combination therapy were included in the study, whereas individuals treated with non-dihydropyridine-type CCBs or with other drug classes (as monotherapy or combination therapy), were excluded. Demographic data (age, gender, height, weight, waist circumference, current smoker habit), clinical data and drug treatments were collected at each visit. Blood pressure was measured with a semiautomatic device (Omron-M6) with the patient in sitting position and after at least 5 min of rest. Measurements were repeated three times, at intervals of 5 min each other. Results: In the overall survey population blood pressure control (blood pressure 

Original languageEnglish
Pages (from-to)165-172
Number of pages8
JournalHigh Blood Pressure and Cardiovascular Prevention
Volume22
Issue number2
DOIs
Publication statusPublished - Jun 11 2015

Keywords

  • ACE-inhibitors
  • Angiotensin II receptors blockers
  • Antihypertensive drugs
  • Blood pressure control
  • Calcium channel blockers
  • Combination drug treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

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