Prevalence of hypotension in hypertensive treated patients within the Primary Care setting. The PRESCAP 2010 study

• Published in: Semergen, medicina de familia Vol. 46; no. 2; pp. 107 - 114
• Main Authors: Divisón-Garrote, J.A., Prieto-Díaz, M.Á., Alonso-Moreno, F.J., Velilla-Zancada, S.M., Escobar-Cervantes, C., Llisterri-Caro, J.L., Cinza-Sanjurjo, S., Rodríguez-Roca, G.C., Polo-García, J., Pallarés-Carratalá, V., Adlbi Sibai, A., Ajenjo González, M., Alonso Moreno, F.J., Araujo Márquez, L., Arina Cordeu, A., Artigao Ródenas, L.M., Barquilla García, A., Beato Fernández, P., Caballero Pajares, V., Cabezudo Moreno, F., Calderón Montero, A., Carrasco Carrasco, E., Carrasco Martín, J.L., Carrizo Sánchez, J., Cinza Sanjurjo, S., de las Cuevas Miguel, M.P., Divisón Garrote, J.A., Elligson Garcia, S., Escobar Cervantes, C., Esteban Rojas, M.B., Fernández Toro, J.M., Frías Vargas, M., García Criado, E., Garcia Lerin, A., García Matarín, L., García Vallejo, O., Genique Martinez, R., Gil Gil, I., González Casado, I., Gorriz Teruel, J.L., Jimenez Baena, E., Llisterri Caro, J.L., Martí Canales, J.C., Mediavilla Bravo, J.J., Molina Escribano, F., Morales Quintero, S., Moyá Amengual, A., Nieto Barco, G., Pallarés Carratalá, V., Piera Carbonell, A.M., Polo García, J., Prieto Díaz, M.A., Rama Martínez, T., Redondo Prieto, M., Rey Aldana, D., Riesgo Escudero, B.E., Rodríguez Roca, G.C., Rojas Martelo, G.A., Romero Secin, A.A., Ruiz García, A., Sánchez Rodríguez, R., Sánchez Ruíz, T., Santos Altozano, C., Sanz García, F.J., Seoane Vicente, M.C., Serrano Cumplido, A., Turégano Yedro, M., Valls Roca, F., Velilla Zancada, S.M., Vicente Molinero, A.
• Format: Journal Article
• Language: English
• Published: Spain Elsevier España, S.L.U 01-03-2020
• Subjects: Age Factors; Aged; Aged, 80 and over; Anciano; Antihipertensivos; Antihypertensive Agents - administration & dosage; Antihypertensive Agents - adverse effects; Antihypertensive drugs; Atención primaria; Blood Pressure - physiology; Cardiovascular disease; Cardiovascular Diseases - epidemiology; Cross-Sectional Studies; Diabetes Mellitus - epidemiology; Elderly; Enfermedad cardiovascular; Female; Hipertensos; Hipotensión; Humans; Hypertension - drug therapy; Hypertensive patients; Hypotension; Hypotension - epidemiology; Internal Medicine; Male; Middle Aged; Prevalence; Primary Care; Primary Health Care; Risk Factors; Spain - epidemiology; Spain; Anciano; Hipertensos; Hypertensive patients; Atención primaria; Antihipertensivos; Antihypertensive drugs; Cardiovascular disease; Hipotensión; Primary Care; Elderly; Hypotension; Enfermedad cardiovascular
• ISSN: 1138-3593; 1578-8865
• DOI: 10.1016/j.semerg.2019.07.003

AbstractObjectiveTo determine the prevalence of hypotension and associated factors in hypertensive patients treated in the Primary Care setting.Materials and methodsA cross-sectional, descriptive, and multicentre study was conducted with a total of 2635 general practitioners consecutively including 12,961 hypertensive patients treated in a Primary Care setting in Spain. An analysis was performed on the variables of age, gender, weight, height, body mass index, waist circumference, cardiovascular risk factors (diabetes, dyslipidaemia, smoking, obesity, sedentary lifestyle), fasting plasma glucose, complete lipid profile, as well as the presence of target organ damage (left ventricular hypertrophy, microalbuminuria, carotid atherosclerosis) and associated clinical conditions. Hypotension was defined as a systolic blood pressure less than 110 mmHg or a diastolic blood pressure less than 70 mmHg. A multivariate analysis was performed to determine the variables associated with the presence of hypotension. ResultsThe mean age was 66.2 years, and 51.7% of patients were women. The mean time of onset of hypertension was 9.1 years. A total of 13.1% of patients (95% confidence interval 12.4–13.6%) had hypotension, 95% of whom had low diastolic blood pressure. The prevalence of hypotension was higher in elderly patients (25.7%) and in those individuals with coronary heart disease (22.6%). The variables associated with the presence of hypotension included a history of cardiovascular disease, being treated with at least 3 antihypertensive drugs, diabetes, and age.ConclusionsOne out of 4–5 elderly patients, or those with cardiovascular disease, had hypotension. General practitioners should identify these patients in order to determine the causes and adjust treatment to avoid complications.