Key result
In newly diagnosed hypertensive patients, the proportion of isolated clinical hypertension was 39.7%, and the incidence of target organ damage was similar to that of sustained hypertension patients.
Why the study?
Does the incidence of target organ damage differ between patients with isolated clinical hypertension and those with sustained arterial hypertension?
Cross-Sectional (n=214)
Yes
Does the incidence of target organ damage differ between patients with isolated clinical hypertension and those with sustained arterial hypertension?
Target organ damage incidence is similar between newly diagnosed patients with isolated clinical hypertension and those with sustained hypertension, highlighting the clinical importance of identifying and managing isolated clinical hypertension.
May support equivalent target organ assessment in isolated clinical hypertension; leaves open whether intervention alters outcomes.
The aim of this study was to determine the proportion of isolated clinical hypertension (ICH) in newly diagnosed hypertensive patients, and to compare the incidence of target organ damage (TOD) in ICH and sustained hypertension patients. Participants. In a multi-centre study involving 14 primary care centres in Girona, Spain, 140 researchers recruited 214 newly diagnosed hypertensive patients 15-75 years of age, without history of cardiovascular events. Period of study. 2004-6. Method. Self-blood pressure monitoring (SBPM) and ambulatory blood pressure monitoring (ABPM). Evaluation. Anamnesis including blood pressure, physical examination and analysis (creatinine, albumin/creatinine index), electrocardiogram (left ventricular hypertrophy) and retinography (fundus damage). Results. In 129 (60.3%) subjects with sustained hypertension and 85 (39.7%) with ICH, no significant differences were found relative to gender, age, body mass index or blood pressure (155/90 vs 154/90 mmHg, respectively). Cholesterol levels were significant differences between both groups (5.97 mmol/l in sustained hypertension vs 5.64 mmol/l in ICH, p = 0.029). The proportion of ICH was approximately 40%. TOD incidence in sustained hypertensives was similar to that of ICH patients.
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Foguet‐Boreu et al. (2007) conducted a cross-sectional in Newly diagnosed hypertension (n=214). Isolated clinical hypertension (ICH) vs. Sustained hypertension was evaluated on Proportion of isolated clinical hypertension (ICH) and incidence of target organ damage (TOD). In newly diagnosed hypertensive patients, the proportion of isolated clinical hypertension was 39.7%, and the incidence of target organ damage was similar to that of sustained hypertension patients.
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