Cardiovascular risk and hypertension control in Italy. Data from the 2015 World Hypertension Day

Autor: Lorenzo Ghiadoni, Michele Stornello, Bruno Trimarco, Gianfranco Parati, Paolo Pauletto, Roberto Pontremoli, Elhassan Makil, Franco Veglio, Enrico Agabiti Rosei, Andrea Faini, Ferruccio Galletti, Giuliano Tocci, Giovambattista Desideri, Claudio Borghi, Camilla Torlasco, Claudio Ferri
Přispěvatelé: Torlasco, Camilla, Faini, Andrea, Makil, Elhassan, Ferri, Claudio, Borghi, Claudio, Veglio, Franco, Desideri, Giovambattista, Agabiti Rosei, Enrico, Ghiadoni, Lorenzo, Pauletto, Paolo, Pontremoli, Roberto, Stornello, Michele, Tocci, Giuliano, Galletti, Ferruccio, Trimarco, Bruno, Parati, Gianfranco
Rok vydání: 2017
Předmět:
Adult
Male
Pediatrics
medicine.medical_specialty
medicine
Adolescent
Hypertension
Cardiovascular Risk Factors
SCORE Index
World Hypertension Day
Cardiovascular risk factors
Hypertension
SCORE index
World hypertension day
Cardiology and Cardiovascular Medicine
Blood Pressure
030204 cardiovascular system & hematology
Global Health
Cardiovascular risk factor
Young Adult
03 medical and health sciences
0302 clinical medicine
Age groups
Risk Factors
Medical
80 and over
Global health
Humans
030212 general & internal medicine
Young adult
Societies
Medical
Aged
Cause of death
cardiovascular risk factors
hypertension
cardiology and cardiovascular medicine
Aged
80 and over
Hypertension control
business.industry
Blood Pressure Determination
Middle Aged
Italian population
Cardiovascular Diseases
Female
Italy
Blood pressure
Coronary risk
Societies
business
Zdroj: International Journal of Cardiology. 243:529-532
ISSN: 0167-5273
DOI: 10.1016/j.ijcard.2017.03.151
Popis: Background Cardiovascular diseases (CVD) are the first cause of death and disability in western countries. Despite therapeutic advances, their prevalence is constantly increasing. Detailed assessment of modifiable CV risk factors could improve CVD prevention and management. Methods to assess CV risk and hypertension control in a sample of the Italian population, individuals participating to the 2015 "World Hypertension Day" were interviewed in 62sites all over Italy. Blood pressure was measured with a validated auscultatory or oscillometric device and information on demography and prevalence of CVD risk factors was collected by an anonymous questionnaire. An ad-hoc modified version of the Systematic COronary Risk Evaluation (SCORE) system was then applied. Results 8657 recruited individuals (43%women, aged 56.68 ± 16 years) were subdivided into 3 age groups (40–49 y, 50–59 y, 60–69 y) for analysis. CV risk was low in 62.4%, 18.0% and 0%; moderate in 26.0%, 66.0% and 62.5%; high/very high in 11.6%, 16% and 37.4%, respectively. Smoking was mainly responsible for increased CV risk among those aged 40–49 y (26%smokers), while hypertension was the main factor in the whole sample and in subjects over 50y (36% and 42% respectively). Overall, BP control was unsatisfactory in 36% of individuals (28%, 48% and 31% of those who declared to be normotensive, hypertensive on treatment or unaware of their BP condition, respectively). Conclusions In this sample of the Italian population, CV risk was alarmingly high, irrespectively of age, mostly due to presence of modifiable risk factors, including hypertension, which should thus be better addressed, especially in the youngsters.
Databáze: OpenAIRE
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