An Opportunity to Know About Resistant Hypertension in our Area

doi:10.1016/j.rec.2011.08.010

Ampliar

Vol. 65. Num. 1.

Pages 109 (January 2012)

An Opportunity to Know About Resistant Hypertension in our Area

Una oportunidad para conocer la hipertensión arterial refractaria en nuestro medio

Rafael Vidal-Péreza Fernando Otero-RaviñabRicardo Besada GestocJosé Ramón González-Juanateya

Blood Pressure Control in Hypertensive Women Aged 65 Years or Older in a Primary Care Setting. MERICAP Study

Rev Esp Cardiol. 2011;64:654-6010.1016/j.rec.2011.05.005

José L. Llisterri, Vivencio Barrios, Alex de la Sierra, Vicente Bertomeu, Carlos Escobar, Diego González-Segura

https://doi.org/10.1016/j.rec.2011.08.010

View PDF

Lea este artículo en español

Options

Other articles of interest

Statistics

2609 Total PDF

6491 Total HTML

Year/month	Html	Pdf	Total
2025 January	29	19	48
2024 December	37	18	55
2024 November	30	33	63
2024 October	28	28	56
2024 September	50	6	56
2024 August	38	31	69
2024 July	16	10	26
2024 June	23	20	43
2024 May	21	15	36
2024 April	18	31	49
2024 March	31	14	45
2024 February	15	23	38
2024 January	15	11	26
2023 December	21	23	44
2023 November	22	28	50
2023 October	36	49	85
2023 September	27	15	42
2023 August	8	8	16
2023 July	17	21	38
2023 June	22	13	35
2023 May	13	8	21
2022 October	27	9	36
2022 September	25	19	44
2022 August	28	23	51
2022 July	43	23	66
2022 June	55	22	77
2022 May	31	21	52
2022 April	34	20	54
2022 March	28	37	65
2022 February	26	8	34
2022 January	17	12	29
2021 December	27	22	49
2021 November	28	29	57
2021 October	22	24	46
2021 September	24	19	43
2021 August	20	10	30
2021 July	23	16	39
2021 June	16	10	26
2021 May	18	8	26
2021 April	42	41	83
2021 March	53	9	62
2021 February	45	5	50
2021 January	23	4	27
2020 December	28	8	36
2020 November	23	7	30
2020 October	22	11	33
2020 September	20	3	23
2020 August	30	8	38
2020 July	26	8	34
2020 June	25	10	35
2020 May	18	13	31
2020 April	14	14	28
2020 March	15	12	27
2020 February	20	8	28
2020 January	16	13	29
2019 December	28	14	42
2019 November	11	8	19
2019 October	9	9	18
2019 September	10	15	25
2019 August	11	6	17
2019 July	18	25	43
2019 June	37	20	57
2019 May	24	12	36
2019 April	44	21	65
2019 March	47	15	62
2019 February	63	17	80
2019 January	81	12	93
2018 December	104	15	119
2018 November	64	20	84
2018 October	93	14	107
2018 September	40	6	46
2018 August	67	8	75
2018 July	61	12	73
2018 June	87	15	102
2018 May	62	8	70
2018 April	71	9	80
2018 March	53	10	63
2018 February	80	6	86
2018 January	65	3	68
2017 December	38	11	49
2017 November	21	7	28
2017 October	25	5	30
2017 September	17	12	29
2017 August	14	7	21
2017 July	23	12	35
2017 June	35	11	46
2017 May	31	8	39
2017 April	31	6	37
2017 March	22	7	29
2017 February	42	3	45
2017 January	32	5	37
2016 December	16	10	26
2016 November	27	6	33
2016 October	91	8	99
2016 September	140	14	154
2016 August	29	7	36
2016 July	52	16	68
2016 June	46	24	70
2016 May	57	10	67
2016 April	47	19	66
2016 March	34	14	48
2016 February	53	25	78
2016 January	50	18	68
2015 December	55	18	73
2015 November	41	18	59
2015 October	88	39	127
2015 September	86	44	130
2015 August	111	50	161
2015 July	71	46	117
2015 June	65	25	90
2015 May	77	36	113
2015 April	61	29	90
2015 March	72	12	84
2015 February	63	25	88
2015 January	55	8	63
2014 December	47	6	53
2014 November	51	11	62
2014 October	68	8	76
2014 September	58	9	67
2014 August	64	8	72
2014 July	57	8	65
2014 June	65	13	78
2014 May	71	6	77
2014 April	62	11	73
2014 March	89	14	103
2014 February	84	3	87
2014 January	75	8	83
2013 December	83	19	102
2013 November	81	7	88
2013 October	76	23	99
2013 September	61	41	102
2013 August	99	98	197
2013 July	78	82	160
2013 June	71	74	145
2013 May	61	83	144
2013 April	56	70	126
2013 March	57	45	102
2013 February	52	33	85
2013 January	57	38	95
2012 December	55	33	88
2012 November	18	8	26
2012 October	8	5	13
2012 September	310	0	310

To the Editor,

We read with interest the article by Llisterri et al.1 regarding blood pressure control in our primary care setting in hypertensive women older than 65 years. The authors report that there is room for improvement in this regard despite the extensive use of combined therapy (3 or more drugs in 21.7% of the sample) and cite several reasons for the differences observed, including poor metabolic control and abdominal obesity. It is noteworthy that the presence of metabolic syndrome was not associated with poor blood pressure control, despite the great difference in the prevalence of this factor between the groups studied.

Our interest arises from a previous registry (HIPERFRE) on resistant hypertension including 1724 patients and carried out by general practitioners in an area of northwest Galicia.2 Although the study included both sexes (58.4% were women), the analysis of the population of women older than 65 shows entirely reproducible data. The degree of blood pressure control was higher in this cohort (40.8%) than in Llisterri's study, and 13.5% of patients had resistant hypertension. Our attention is focused on this finding because, as is known from related guidelines,3 the exact prevalence of this condition is unknown. Resistant hypertension is defined as poor blood pressure control in patients treated with at least 3 drugs, one of which is a diuretic.

Studies such as Llisterri's1 and the recent CARDIOTENS 20094 provide a good opportunity to have access to data on this relatively frequent condition. Although this information was not reported in either study, the percentage of patients with resistant hypertension (ie, the percentage of those receiving 3 or more antihypertensive drugs and experiencing poor blood pressure control) was surely less than 12.5% in MERICAP. It would be of interest to have an approximate estimate and to know whether resistant hypertension was associated with obesity, diabetes mellitus, and metabolic syndrome, as was seen in HIPERFRE.

Corresponding author: rafavidal@hotmail.com

Bibliography

[1]

Llisterri JL, Barrios V, De la Sierra A, Bertomeu V, Escobar C, González Segura D..

Control de la presión arterial en las mujeres hipertensas de 65 o más años de edad asistidas en atención primaria. Estudio MERICAP..

Rev Esp Cardiol. , (2011), 64 pp. 654-660

http://dx.doi.org/10.1016/j.recesp.2011.04.018 | Medline

[2]

Otero FR, Grigorian LS, Lado ML, Lado AL, Turrado VT, Santos JA, et al..

Asociación entre hipertensión refractaria y riesgo cardiometabólico. Estudio HIPERFRE..

Nefrología. , (2008), 28 pp. 425-432

http://dx.doi.org/10.1053/j.ackd.2008.01.013 | Medline

[3]

Calhoun DA, Jones D, Textor S, Goff DC, Murphy TP, Toto RD, et al..

Resistant hypertension: diagnosis, evaluation, and treatment. A scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research..

Circulation. , (2008), 117 pp. 510-526

[4]

Cordero A, Bertomeu-Martínez V, Mazón P, Fácila L, Bertomeu-González V, Cosín J, et al..

Factores asociados a la falta de control de la hipertensión arterial en pacientes con y sin enfermedad cardiovascular..

Rev Esp Cardiol. , (2011), 64 pp. 587-593

http://dx.doi.org/10.1016/j.recesp.2011.03.008 | Medline