Open AccessCharacteristics and Future Cardiovascular Risk of Patients With Not‐At‐Goal Hypertension in General Practice in France: The AVANT ' AGE Study
Author(s) -
Zhang Yi,
Lelong Hélène,
Kretz Sandrine,
Agnoletti Davide,
Mourad JeanJacques,
Safar Michel E.,
Blacher Jacques
Publication year - 2013
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12082
Subject(s) - medicine , diabetes mellitus , dyslipidemia , stroke (engine) , myocardial infarction , population , left ventricular hypertrophy , blood pressure , anthropometry , cardiology , disease , endocrinology , mechanical engineering , environmental health , engineering
Although many studies focus on patients with resistant hypertension, general practitioners ( GP s) are more likely to face patients in clinical practice with not‐at‐goal hypertension, whose antihypertensive treatment needs to be modified. However, information regarding such patients is limited. In the present study, 710 GP s in F rance each included their first 10 not‐at‐goal hypertensive patients, ie, the patients for whom they decided to modify antihypertensive treatment. The study population was composed of 7032 patients (58% men, mean age 62.4±11.5 years). Anthropometric and biologic measurements and clinical data were collected, and vascular age and 10‐year cardiovascular risk were estimated by standard formula. Of 7032 participants, cardiovascular risk factors were prevalent, with 15.1% current smokers, 26.1% obese, 22.8% with diabetes mellitus, 35.1% with dyslipidemia, 12.0% with left ventricular hypertrophy, and 4.9% with renal insufficiency. In the subgroup (n=4697) of patients aged between 30 and 74 years and undergoing primary cardiovascular prevention, vascular age was superior (13 to 28 years) when compared with chronological age in different subgroups. The patients' estimated 10‐year cardiovascular global risk was 25.3±13.6%, with 16.0±10.5% for coronary heart disease, 8.7±6.8% for myocardial infarction, 5.8±4.5% for stroke, and 6.8±6.6% for cardiovascular mortality. Patients with not‐at‐goal hypertension in primary care bear a heavy burden of cardiovascular diseases.