Cardiovascular risk assessment in hypertensive patients with tests recommended by the European Guidelines on Hypertension

Gómez‐Marcos, Manuel A.; González-Elena, Luis J.; Rodríguez‐Sánchez, Emiliano; Magallón-Botaya, Rosa; Muñoz-Moreno, María Fe; Patino-Alonso, María C.

doi:10.1177/1741826711401981

Cited by 16 publications

(7 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18 These observations may be driven by the fact that subjects with previously undiagnosed hypertension already have multiple risk factors and high prevalence of target organ damage leading to subclinical atherosclerosis before the diagnosis of hypertension. We share the opinion of Go´mez-Marcos et al 19 that GFR and ABI should be included in the routine analysis of recently diagnosed hypertensive patients. For general practitioners, this allows more appropriate risk assessment and guidance to intensify treatment strategy, since target organ damage invariably place a subject with hypertension in the high-risk category.…”

Section: Discussionmentioning

confidence: 95%

Target organ damage and cardiovascular risk factors among subjects with previously undiagnosed hypertension

Korhonen

Kautiainen

Järvenpää

et al. 2013

Eur J Prev Cardiolog

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Target organ damage and cardiovascular risk factors among subjects with previously undiagnosed hypertension

Korhonen

Kautiainen

Järvenpää

et al. 2013

Eur J Prev Cardiolog

View full text Add to dashboard Cite

show abstract

“…Systematic evaluation of hypertensive patients with all the examinations recommended by the ESH/ESC guidelines is not a routine practice. Gomez‐Marcos and colleagues 20 showed that nearly 25% of low‐ and medium‐risk hypertensive patients had to be reclassified to the high‐ or very high‐risk group. Assessment of electrocardiographic left ventricular hypertrophy assessment, ABI, and estimated GFR reclassified a significant higher number of hypertensive patients to the high‐risk category as compared with Framingham risk prediction tools 21 .…”

Section: Discussionmentioning

confidence: 99%

Guideline Adherence in Cardiovascular Risk Assessment and Analysis in 15,000 Hypertensive German Patients in Real Life: Results of the Prospective 3A Registry

Dechend

Kaiser

Derer

et al. 2012

J of Clinical Hypertension

View full text Add to dashboard Cite

J Clin Hypertens (Greenwich). 2012;00:00–00. ©2012 Wiley Periodicals, Inc. The benefit obtained from antihypertensive treatment is related more to overall cardiovascular risk reduction than to blood pressure levels. Accurate implementation of cardiovascular diagnostics is a key step toward assessment of cardiovascular risk. In the 3A Registry study, data about patient history, concomitant diseases, diagnostic procedures, and medications were prospectively collected. A total of 14,738 patients recruited by 899 physicians in 2008 and 2009 were analyzed. Assessment of cardiovascular risk factors and subclinical end‐organ damage (SOD) showed broad differences in the implementation of European Society of Hypertension/European Society of Cardiology recommendations. Electrocardiograms were available in 59% of patients, cholesterol in 71.4%, and glucose in 69.7%. Almost all patients (99.6%) had creatinine measurements performed and microalbuminuria was measured in 8.5%. Metabolic syndrome (MS) had been evaluated in 59.7%. Implementation of diagnostic guidelines was highest in hypertensive patients with diabetes, followed by patients with known cardiovascular disease and established chronic renal insufficiency. For hypertensive patients without known comorbidities, the authors estimated that up to 29% had missed SOD (detection rate <50%) and 13% missed MS due to incomplete assessment of risk factors. This large registry study shows that assessment for cardiovascular risk factors and SOD is incomplete. Major efforts are required to improve comprehensive hypertension management as recommended by current guidelines.

show abstract

“…There is evidence that the ankle-brachial index inversely and linearly correlates with cigarette smoking [7,8]. Nevertheless, when evaluating vascular structure and function, every test has different accessibility and costs [9]. Several authors have proposed that the patient’s age, sex, blood pressure and heart rate, and the presence of obesity, diabetes and vascular drugs, are the main determinants of the parameters that assess arterial stiffness and vascular function [10-13].…”

Section: Introductionmentioning

confidence: 99%

Association between smoking status and the parameters of vascular structure and function in adults: results from the EVIDENT study

Recio-Rodríguez

Gómez‐Marcos

Patino-Alonso

et al. 2013

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundThe present study analyses the relation between smoking status and the parameters used to assess vascular structure and function.MethodsThis cross-sectional, multi-centre study involved a random sample of 1553 participants from the EVIDENT study. Measurements: The smoking status, peripheral augmentation index and ankle-brachial index were measured in all participants. In a small subset of the main population (265 participants), the carotid intima-media thickness and pulse wave velocity were also measured.ResultsAfter controlling for the effect of age, sex and other risk factors, present smokers have higher values of carotid intima-media thickness (p = 0.011). Along the same lines, current smokers have higher values of pulse wave velocity and lower mean values of ankle-brachial index but without statistical significance in both cases.ConclusionsAmong the parameters of vascular structure and function analysed, only the IMT shows association with the smoking status, after adjusting for confounders.

show abstract

Cardiovascular risk assessment in hypertensive patients with tests recommended by the European Guidelines on Hypertension

Abstract: With the non-routine tests, 25.4% of the low or moderate risk patients were reclassified as presenting high risk.

Cited by 16 publications

References 29 publications

Target organ damage and cardiovascular risk factors among subjects with previously undiagnosed hypertension

Target organ damage and cardiovascular risk factors among subjects with previously undiagnosed hypertension

Guideline Adherence in Cardiovascular Risk Assessment and Analysis in 15,000 Hypertensive German Patients in Real Life: Results of the Prospective 3A Registry

Association between smoking status and the parameters of vascular structure and function in adults: results from the EVIDENT study

Contact Info

Product

Resources

About