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Do Cardiovascular Risk Factors have an impact on Blood Pressure Control in Hypertensive Patients?

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Author(s): Shahab Rezaeian

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 4;
Issue: 12;
Start page: 1936;
Date: 2012;
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Keywords: Blood pressure control | Hypertensive patients | Cardiovascular risk factors | Propensity score | Iran

ABSTRACT
Background: Previous studies have shown that hypertensive patients have at least oneadditional cardiovascular risk factor also blood pressure (BP) control is crucial in theprevention of cardiovascular diseases.Objective: The aim of this study was to investigate the prevalence of cardiovascular riskfactors and their association with blood pressure BP control status in hypertensive patients.Methods: In this cross-sectional study 1158 subjects with an established diagnosis ofhypertension were included. The data collection was done using family records.Results: The mean age of the patients was 66.0 years and 61.3% were female. Theprevalence of obesity, diabetes, smoking and family history of BP were 18.3%, 4.3%, 11.2%and 20.5%, respectively. Overall, control of the hypertension was found in 28.4% of thestudy population.After adjustment for baseline variables the likelihood of having well control of BP was 15.24times greater among the diabetic patients, 2 times greater among the female patients, 0.27times greater among smokers, 2.12 times greater among obese subjects and 1.8 times greateramong patients with family history of BP that these were significant.Conclusion: Analysis showed that cardiovascular risk factors such as advancing age,smoking, diabetes and higher body mass index in hypertensive patients are prevalent.Integrative management of BP as well as co-morbid risk factors should be encouraged.
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