|
KMID : 0882420110800030298
|
|
Korean Journal of Medicine
2011 Volume.80 No. 3 p.298 ~ p.307
|
|
|
Analysis of Treatment Patterns and Blood Pressure Changes According to Risk Stratification in Hypertensive Subjects
|
|
Kim Dong-Kie
Kim Dong-Soo
Jin Han-Young
Cho Young-Wan
Seo Young-Kyeong
Kim Yong-Bok
Yang Tae-Hyun
Kim Young-Dae
Hong Taek-Jong
Lee Sang-Gon
Cha Tae-Joon
Kim Tae-Ik
Kim Byung-Soo
Kim Dae-Kyeong
Kim Doo-Il
|
|
|
Abstract
|
|
|
Background/Aims : The aims of this study were to identify real world treatment patterns of hypertension according to cardiovascular risk stratification and to evaluate blood pressure changes with anti-hypertensive treatment in each risk group.
Methods: This study included patients who were newly-diagnosed with hypertension or known hypertensive patients with uncontrolled blood pressure (BP) at seven tertiary hospitals in Busan and Ulsan. World Health Organization/International Society of Hypertension (WHO/ISH) cardiovascular risk stratification was performed through retrospective chart review.
Results: Angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers were the most frequently prescribed drugs. The higher WHO/ISH risk group received a greater number of drugs at the initial treatment, and one year after treatment. Target BP was achieved less frequently in the higher risk group (68.2% vs. 85.2% vs. 89.0%, p < 0.001). The rate of attaining target BP was lower (50.7% vs. 81.6%, p < 0.001), and the time to attaining target BP was longer (106.5 ± 79.2 days vs. 82.1 ± 75.3, p = 0.001), in patients with renal disease or diabetes. Initial systolic BP above 160 mmHg (OR: 4.91, 95% CI: 2.27~10.65), renal disease (3.42, 1.60~7.32), medium or high risk group status (2.27, 1.23~4.20), initial diastolic BP above 100 mmHg (2.11, 1.11~4.04), and diabetes (2.06, 1.29~3.25) were independent factors that predicted failure of attaining the target BP.
Conclusions: BP control was relatively unsatisfactory in patients with higher initial BP, renal disease, higher WHO/ISH risk group status, and diabetes. Individualized approaches for such patients are needed to improve BP control in routine clinical practice.
|
|
|
KEYWORD
|
|
|
Antihypertensive agent, Hypertension, Practice pattern, Risk factor
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|