Prevalence of target organ damage in hypertensive subjects attending primary care: C.V.P.C. study (epidemiological cardio-vascular study in primary care)
| Autor: | Alexios Sotiropoulos, Charalambos Tountas, Aristofanis Gikas, Christos Papafragos, Athanasia Papazafiropoulou, Ourania Apostolou, Hariklia Kaliora, Efstathios Skliros |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty hypertension Cross-sectional study Primary health care Primary care Left ventricular hypertrophy Internal medicine target organ damage Epidemiology medicine Prevalence Humans Intensive care medicine lcsh:R5-920 Primary Health Care business.industry Middle Aged medicine.disease Target organ damage left ventricular hypertrophy Cross-Sectional Studies Cardiovascular Diseases Female business Family Practice lcsh:Medicine (General) Research Article |
| Zdroj: | BMC Family Practice BMC Family Practice, Vol 12, Iss 1, p 75 (2011) |
| ISSN: | 1471-2296 |
| Popis: | Background Except for the established risk factors, presence of target organ damage has an important role in the treatment of hypertensive subjects. The aim of the present study was to estimate the prevalence of target organ damage in primary care subjects. Methods This multi-centre, cross-sectional survey of 115 primary care physicians recruited 1095 consecutive subjects with hypertension: 611 men (55.8%); and 484 women (44.2%). A detailed history for the presence of cardiovascular disease and a thorough clinical examination was performed to each subject. Results Of the total study population, 44.5% (n = 487) had target organ damage (33.0% had left ventricular hypertrophy, 21.8% increased carotid intima media thickness, 11.0% elevated plasma creatinine levels and 14.6% microalbuminuria). Target organ damage was more prevalent in males than in females (P = 0.05). In addition, males had more often increased carotid intima media thickness than females (P = 0.009). On the contrary, females had more often microalbuminuria (P = 0.06) than males. No differences were observed between the two genders regarding left ventricular hypertrophy (P = 0.35) and elevated plasma creatinine levels (P = 0.21). Logistic regression analysis showed associations between target organ damage and dyslipidemia (P < 0.001), presence of metabolic syndrome (P = 0.005), diabetes (P < 0.001) and coronary artery disease (P < 0.001). Conclusion A significant proportion of hypertensive subjects in primary care had documented associated target organ damage, with left ventricular hypertrophy being the most prevalent target organ damage. |
| Databáze: | OpenAIRE |
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