[Factors affecting the control of blood pressure and lipid levels in patients with cardiovascular disease: the PREseAP Study]
Domingo Orozco-Beltrán, Carlos Brotons, Irene Moral, Nuria Soriano, María A Del Valle, Ana I Rodríguez, Josep M Pepió, Ana Pastor, investigadores del estudio PREseAP, Dolores Ariño, Mercedes Abancens, Virginia Arroyo, Ana Miñana, Bárbara Oliván, Sol Reixa, José María Turón, Isabel Borrás, Ester Benito, Sofía Brunet, Ana Belén De la Cruz, Escalas Micaela, Luis Escriche, Francesca Fiol, Francisca Fullana, Fullana Inmaculada, Basilio García, Elvira Gastalver, María Pía Gómez, María del Carmen González, María Hernández, Isabelle Mattei, Maria de Lluch Jaume, Joan Llobera, Santiago Mairata, Sebastià March, Margarita Marimón, Francisca Mestre, Angélica Miguélez, Jeroni Miralles, Brígida Mora, Margarita Oliver, Silvia Ortas, Catalina Pascual, Josep Pieras, Fernando Rigo, Tomás Rodríguez, Isabel María Ruiz, Isabel Salas, Salvadora Sancho, Victoria Useros, María Pilar Rodrigo, Magdalena Bernardos, José María Del Teso, María Antonia Del Valle, Yolanda Granja, María Jesús Marchessi, Jesús Redondo, María Luisa González, Violeta Alvárez, Noemí De Juan, María Visitación Gonzalo, Evelio Higuera, Encarna Luis, Itziar Martínez, María José Pereda, Carlos Brotons, Vanesa Closas, Corral Rosario, David García, Lluís Gràcia, Silvia Gutiérrez, Antoni Iruela, Mireia Martínez, Irene Moral, Maria Dolors Morató, Antoni Palau, Miriam Payan, José Pérez, Elisabet Rayó, Núria Soriano, Francesc Vila, Rosa Yrla, Josep Maria Pepió, Carina Aguilar, Jordi Albero, Concepción Arasa, María José Arasa, Nuria Beguer, María Bertomeu, Josep P Carcelle, Encarnación Checa, Emilio Ciurana, Maria Riera Ciurana, Josep Lluís Clua, Claudia Curto, Maria Rosa Dalmau, Jordi Daniel, Maria Merçé Fatsini, Inmaculada Ferré, Gracia García, Araceli Grau, Joan Lluís Guasch, Roland Juan, Josep Lluís Llor, Judit Marín, Josep Felip Monclus, Jaime Pons, Josep J Ramos, Joan Santigosa, Francisco Buitrago, Lourdes Cañón, María Pilar Casquero, Eloísa Cruces, Natalio Díaz, Elisabet Navarro, Ramón Nogales, María Victoria Serrano, Carmen Velasco, Pilar Kloppe, Angela Auñón, Mercedes Canellas, Pilar Costa, Carmen Fernández, María Angeles Garro, Rosario Gómez, Pura Herradura, Milagros Jimeno, Ana Pastor, María José Piñero, Pilar Rapp, Roberto Segura, Eva Sierra, Ana Isabel Rodríguez, Raquel Benavides, Dolores Celma, Conchi Fuentes, Pedro Ortueta, Domingo Orozco, Concha Carratalá, Miguel Angel Codorniu, Rosana Espinosa, Carlos Fluixa, José Galán, María del Carmen Galinsoga, Manuel Galofre, Vicente Gil, Adela Huertas, Francisco Lluch, María Isabel López, Antonio Maiques, Rocío Marco, Nieves Martínez, Francisco Mas, Jorge Navarro, Mercedes Navarro, José Jorge Payá, Avelino Pereira, Isabel Prieto, Fernando Quirce, Miguel Richart, María Jesús Séller, Fernando Sevilla, Eva Sierra, Milagros Siurana, José Manuel Soler, Cecilia Terol, Adela Tomás, Eduard Diògene, Alfonso Del Río, Antonio Gil, María Victoria Gordillo, Miguel Angel Muñoz, Xavier Vidal, Fernando Villar, Domingo Orozco-Beltrán, Carlos Brotons, Irene Moral, Nuria Soriano, María A Del Valle, Ana I Rodríguez, Josep M Pepió, Ana Pastor, investigadores del estudio PREseAP, Dolores Ariño, Mercedes Abancens, Virginia Arroyo, Ana Miñana, Bárbara Oliván, Sol Reixa, José María Turón, Isabel Borrás, Ester Benito, Sofía Brunet, Ana Belén De la Cruz, Escalas Micaela, Luis Escriche, Francesca Fiol, Francisca Fullana, Fullana Inmaculada, Basilio García, Elvira Gastalver, María Pía Gómez, María del Carmen González, María Hernández, Isabelle Mattei, Maria de Lluch Jaume, Joan Llobera, Santiago Mairata, Sebastià March, Margarita Marimón, Francisca Mestre, Angélica Miguélez, Jeroni Miralles, Brígida Mora, Margarita Oliver, Silvia Ortas, Catalina Pascual, Josep Pieras, Fernando Rigo, Tomás Rodríguez, Isabel María Ruiz, Isabel Salas, Salvadora Sancho, Victoria Useros, María Pilar Rodrigo, Magdalena Bernardos, José María Del Teso, María Antonia Del Valle, Yolanda Granja, María Jesús Marchessi, Jesús Redondo, María Luisa González, Violeta Alvárez, Noemí De Juan, María Visitación Gonzalo, Evelio Higuera, Encarna Luis, Itziar Martínez, María José Pereda, Carlos Brotons, Vanesa Closas, Corral Rosario, David García, Lluís Gràcia, Silvia Gutiérrez, Antoni Iruela, Mireia Martínez, Irene Moral, Maria Dolors Morató, Antoni Palau, Miriam Payan, José Pérez, Elisabet Rayó, Núria Soriano, Francesc Vila, Rosa Yrla, Josep Maria Pepió, Carina Aguilar, Jordi Albero, Concepción Arasa, María José Arasa, Nuria Beguer, María Bertomeu, Josep P Carcelle, Encarnación Checa, Emilio Ciurana, Maria Riera Ciurana, Josep Lluís Clua, Claudia Curto, Maria Rosa Dalmau, Jordi Daniel, Maria Merçé Fatsini, Inmaculada Ferré, Gracia García, Araceli Grau, Joan Lluís Guasch, Roland Juan, Josep Lluís Llor, Judit Marín, Josep Felip Monclus, Jaime Pons, Josep J Ramos, Joan Santigosa, Francisco Buitrago, Lourdes Cañón, María Pilar Casquero, Eloísa Cruces, Natalio Díaz, Elisabet Navarro, Ramón Nogales, María Victoria Serrano, Carmen Velasco, Pilar Kloppe, Angela Auñón, Mercedes Canellas, Pilar Costa, Carmen Fernández, María Angeles Garro, Rosario Gómez, Pura Herradura, Milagros Jimeno, Ana Pastor, María José Piñero, Pilar Rapp, Roberto Segura, Eva Sierra, Ana Isabel Rodríguez, Raquel Benavides, Dolores Celma, Conchi Fuentes, Pedro Ortueta, Domingo Orozco, Concha Carratalá, Miguel Angel Codorniu, Rosana Espinosa, Carlos Fluixa, José Galán, María del Carmen Galinsoga, Manuel Galofre, Vicente Gil, Adela Huertas, Francisco Lluch, María Isabel López, Antonio Maiques, Rocío Marco, Nieves Martínez, Francisco Mas, Jorge Navarro, Mercedes Navarro, José Jorge Payá, Avelino Pereira, Isabel Prieto, Fernando Quirce, Miguel Richart, María Jesús Séller, Fernando Sevilla, Eva Sierra, Milagros Siurana, José Manuel Soler, Cecilia Terol, Adela Tomás, Eduard Diògene, Alfonso Del Río, Antonio Gil, María Victoria Gordillo, Miguel Angel Muñoz, Xavier Vidal, Fernando Villar
Abstract
The aim of this observational study was to identify factors influencing the control of blood pressure (i.e., <140/90 mmHg, or <130/80 mmHg in diabetic patients) and low-density lipoprotein (LDL) cholesterol level (<100 mg/dL) in 1223 patients with cardiovascular disease. Overall, 70.2% of patients were men, and their mean age was 66.4 years. Blood pressure was poorly controlled in 50.9% (95% confidence interval [CI], 46.9%-54.8%) and the LDL cholesterol level was poorly controlled in 60.1% (95% CI, 56.3%-63.9%). Determinants of poor blood pressure control were diabetes, hypertension, no previous diagnosis of heart failure, previous diagnosis of peripheral artery disease or stroke, obesity, and no lipid-lowering treatment. Determinants of poor LDL cholesterol control were no lipid-lowering treatment, no previous diagnosis of ischemic heart disease, no antihypertensive treatment, and dyslipidemia. The factors affecting blood pressure control were different from those affecting LDL cholesterol control, an observation that should be taken into account when implementing treatment recommendations for achieving therapeutic objectives in secondary prevention.
Source: PubMed