Influence of short-term follow-up on cardiovascular risk status among high-risk hypertensive patients in Turkey: an observational study.
نویسنده
چکیده
OBJECTIVE The present study was designed to evaluate clinical practice of cardiovascular (CV) risk management and the influence of follow-up on risk profile among hypertensive patients. METHODS Of the 1023 patients enrolled in the cross-sectional phase, data from 397 high-risk patients (mean [SD] age, 59.2 [11.5] years; 62.5% female) who had attended at least 1 follow-up visit within 9 months of (longitudinal phase) enrollment were included in the present non-interventional study of CV risk factors, 10-year coronary heart disease (CHD) risk estimate, risk level, and risk management. RESULTS Ten-year CHD risk (p<0.001), and percentages of patients with high risk (20.7 vs 13.4%) and very high risk (19.6 vs 6.6%) significantly decreased upon follow-up (p<0.001). Significant reductions in systolic and diastolic blood pressure (BP), and low-density lipoprotein (LDL) cholesterol (p<0.001 for each), and an increase in high-density lipoprotein (HDL) cholesterol (p=0.007) were associated with a positive shift in risk grouping (42.8%). The shift toward lower-risk grouping was more prominent in patients with diabetes (5.5% vs 41.1%) and metabolic syndrome (19.2% vs 34.2%; p<0.001 for each). Achievement of target BP significantly improved upon follow-up, particularly in lower-risk groups (p<0.001). CONCLUSION Results indicate better CV risk management in hypertensive patients, with a pronounced decrease in 10-year CV risk estimate and a switch to lower-risk grouping, particularly in patients with diabetes mellitus and metabolic syndrome, associated with close follow-up.
منابع مشابه
Evaluation of Factors Related to Short-Term and Long-Term Survival of Breast Cancer Patients by Mixture Cure Model
Introduction: Breast cancer is the most common cancer among women. Today, with advancements in medical sciences, increasing the cure probability of patients as well as increasing survival time is an important goal of cancer treatment. Therefore, in this study, in addition to examining patients’ survival, we investigated the cure probability of breast cancer patients and its prognostic factors u...
متن کاملDoes Short-Term Low-Dose Methotrexate Treatment Affect Homocysteine Blood Level in Patients with Psoriasis?
Background: An elevated homocysteine level is an independent risk factor for cardiovascular disorders. Psoriatic patients have an increased risk of cardiovascular diseases; In addition, hyperhomocysteinemia is a complication of methotrexate treatment. We undertook a study to evaluate the plasma levels of homocysteine, vitamin B12 and folate in patients with psoriasis before and after short-term...
متن کاملThe role of myocardial perfusion SPECT in short-term cardiac prognosis of end-stage renal disease
Introduction: One of the most important causes of death in patients with end-stage renal disease (ESRD) and even after kidney transplantation is cardiovascular diseases. Thus, cardiac evaluation is of utmost importance in the management of these patients especially during preoperative work up before renal transplantation. The aim of present study is to evaluate the role of myoc...
متن کاملوضعیت متابولیکی 6 ماه بعد از زایمان در دیابت حاملگی
Background: GDM (Gestational Diabetes Mellitus) is the most important medical complication in pregnancy. Its prevalence is about 1-14 percent. It is necessary to follow up patient with GDM in order to detect any Glucose intolerance and improve their long term outcome. The aim of this research is to find the relationship between GDM and metabolic disorder (such as glucose intolerance. Lipoprotei...
متن کاملA SURVEY OF CARDIOVASCULAR RISK FACT ORS IN BABOLIAN RURAL HYPERTENSIVES
High blood pressure control (HBPC) is a common goal of WHO and the world hypertension league (WHL). The two important strategies in HBPC are identifying cardiovascular (CVD) risk factors and planning to modify controllable factors. This study was accomplished to determine the CVD risk factors in high blood pressure (HBP) patients of the rural population, residing in the Babol region, north...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
دوره 44 2 شماره
صفحات -
تاریخ انتشار 2016