Progression of blood pressure and cardiovascular outcomes in hypertensive patients in a reference center

• Published in: Arquivos brasileiros de cardiologia Vol. 104; no. 4; pp. 292 - 298
• Main Authors: Guimarães Filho, Gilberto Campos, Sousa, Ana Luiza Lima, Jardim, Thiago de Souza Veiga, Souza, Weimar Sebba Barroso, Jardim, Paulo César Brandão Veiga
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Cardiologia 01-04-2015; Sociedade Brasileira de Cardiologia - SBC; Sociedade Brasileira de Cardiologia (SBC)
• Subjects: Adult; Aged; Aged, 80 and over; Blood Pressure - physiology; Body Mass Index; Brazil; CARDIAC & CARDIOVASCULAR SYSTEMS; Cardiovascular Diseases - etiology; Cardiovascular Diseases - mortality; Disease Progression; Doenças Cardiovasculares; Fatores de Risco; Female; Hipertensão / complicações; Humans; Hypertension - complications; Hypertension - physiopathology; Hypertension - therapy; Indicadores de Morbimortalidade; Male; Middle Aged; Myocardial Infarction - epidemiology; Original; Overweight - complications; Pressão Arterial / fisiopatologia; Risk Factors; Sedentary Behavior; Stroke - epidemiology; Young Adult; Cardiovascular Diseases; Hipertensão / complicações; Risk Factors; Arterial Pressure / physiopathology; Doenças Cardiovasculares; Indicators of Morbidity and Mortality; Indicadores de Morbimortalidade; Hypertension / complications; Pressão Arterial / fisiopatologia; Fatores de Risco
• ISSN: 0066-782X; 1678-4170; 1678-4170
• DOI: 10.5935/abc.20150001

Hypertension is a public health problem, considering its high prevalence, low control rate and cardiovascular complications.
Evaluate the control of blood pressure (BP) and cardiovascular outcomes in patients enrolled at the Reference Center for Hypertension and Diabetes, located in a medium-sized city in the Midwest Region of Brazil.
Population-based study comparing patients enrolled in the service at the time of their admission and after an average follow-up of five years. Participants were aged ≥ 18 years and were regularly monitored at the Center up to 6 months before data collection. We assessed demographic variables, BP, body mass index, risk factors, and cardiovascular outcomes.
We studied 1,298 individuals, predominantly women (60.9%), and with mean age of 56.7 ± 13.1 years. Over time, there was a significant increase in physical inactivity, alcohol consumption, diabetes, dyslipidemia, and excessive weight. As for cardiovascular outcomes, we observed an increase in stroke and myocardial revascularization, and a lower frequency of chronic renal failure. During follow-up, there was significant improvement in the rate of BP control (from 29.6% to 39.6%; p = 0.001) and 72 deaths, 91.7% of which were due to cardiovascular diseases.
Despite considerable improvements in the rate of BP control during follow-up, risk factors worsened and cardiovascular outcomes increased.