Document Detail

Blood pressure control in Italy: analysis of clinical data from 2005-2011 surveys on hypertension.
MedLine Citation:
PMID:  22573073     Owner:  NLM     Status:  Publisher    
INTRODUCTION:: Blood pressure (BP) control is poorly achieved in hypertensive patients, worldwide. AIM:: We evaluated clinic BP levels and the rate of BP control in hypertensive patients included in observational studies and clinical surveys published between 2005 and 2011 in Italy. METHODS:: We reviewed the medical literature to identify observational studies and clinical surveys on hypertension between January 2005 and June 2011, which clearly reported information on clinic BP levels, rates of BP control, proportions of treated and untreated patients, who were followed in different clinical settings (mostly in general practice, and also in outpatient clinics and hypertension centres). RESULTS:: The overall sample included 158 876 hypertensive patients (94 907 women, mean age 56.6 ± 9.6 years, BMI 27.2 ± 4.2 kg/m, known duration of hypertension 90.2 ± 12.4 months). In the selected studies, average SBP and DBP levels were 145.7 ± 15.9 and 87.5 ± 9.7 mmHg, respectively; BP levels were higher in patients followed in hypertension centres (n = 10 724, 6.7%; 146.5 ± 17.3/88.5 ± 10.3 mmHg) than in those followed by general practitioners (n = 148 152, 93.3%; 143.5 ± 13.9/84.8 ± 8.9 mmHg; P < 0.01). More than half of the patients were treated (n = 91 318, 57.5%); among treated hypertensive patients, only 31 727 (37.0%) had controlled BP levels. CONCLUSION:: The present analysis confirmed inadequate control of BP in Italy, independently of the clinical setting. Although some improvement was noted compared with a similar analysis performed between 1995 and 2005, these findings highlight the need for a more effective clinical management of hypertension.
Giuliano Tocci; Enrico Agabiti Rosei; Ettore Ambrosioni; Claudio Borghi; Claudio Ferri; Andrea Ferrucci; Giuseppe Mancia; Alberto Morganti; Roberto Pontremoli; Bruno Trimarco; Alberto Zanchetti; Massimo Volpe
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Publication Detail:
Journal Detail:
Title:  Journal of hypertension     Volume:  30     ISSN:  1473-5598     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-5-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1065-1074     Citation Subset:  -    
aIRCCS Neuromed, Pozzilli, Isernia bDepartment of Medical and Surgical Sciences, II Division of Medicine, Azienda Ospedaliera Spedali Civili, Brescia cDivision of Internal Medicine, University of Bologna, Policlinico Sant'Orsola, Bologna dDepartment of Internal Medicine and Public Health, University of L'Aquila, Coppito, L'Aquila eDivision of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine, University of Rome 'Sapienza', Sant'Andrea Hospital, Rome fUniversity of Milano-Bicocca, San Gerardo Hospital, Monza gChair and Division of Internal Medicine, Hypertension Unit, Ospedale San Giuseppe, Milan hDepartment of Internal Medicine, University of Genoa iDepartment of Cardionephrology, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Genoa jDepartment of Clinical Medicine and Cardiovascular Sciences, University of Naples 'Federico II', Naples kIstituto Auxologico Italiano and Centro di Fisiologia Clinica e Ipertensione, University of Milano, Milan, Italy.
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