Hipertensión arterial resistente en pacientes hipertensos atendidos en Atención Primaria de España. Estudio PRESCAP 2010
- Cinza Sanjurjo, Sergio
- Alonso Moreno, Francisco Javier
- Prieto Díaz, Miguel Ángel
- Divisón Garrote, Juan Antonio
- Rodríguez Roca, Gustavo C.
- Llisterri Caro, José Luis
ISSN: 1138-3593
Year of publication: 2015
Issue: 3
Pages: 123-130
Type: Article
More publications in: Semergen: revista española de medicina de familia
Sustainable development goals
Abstract
Objective. To determine the prevalence and clinical and epidemiological characteristics of Primary Care patients with resistant hypertension (RHT) in Spain. Patients and methods. A cross-sectional multicenter study was conducted on hypertensive patients aged 18 or over and seen in a Primary Care clinic. RHT was considered as the presence of uncontrolled blood pressure in patients treated with at least 3 drugs, one of which is a diuretic. Results. Of the 12,961 hypertensive patients in the PRESCAP 2010 study, 962 (7.4%) fulfilled criteria for RHT, of whom 51% were women, and with a mean age (SD) 68.8 [11.4] years. Patients with RHT were older (68.80 [10.69] years vs. 66.06 [11.44] years, P < .001), had a higher prevalence of obesity (55.2 vs. 38.6%,P < .001), a higher waist circumference (103.90 [13.89] vs. 99.32 [13.69] cm, P < .001), and a higher prevalence of DM (48.3 vs. 29.5%, P < .001). The prevalence of target organ damage (73.0 vs. 61.4%,P < .001) and cardiovascular disease (46.7 vs. 26.8%, P < .001) were higher in patients with resistant hypertension. The multivariate analysis showed that the variables associated with resistant hypertension were the presence of cardiovascular disease, diabetes mellitus, sedentary life style, microalbuminuria, body mass index, duration of AHT, and triglycerides. Conclusions. The prevalence of RHT in Primary Care patients is related to inappropriate lifestyles, the presence of target organ damage, and cardiovascular disease.