Among patients 6-18 months post-ACS or revascularization, 57.5% had uncontrolled blood pressure, with higher rates in those with obesity (65.4% vs 46.9%) and lower socioeconomic status.
Cross-Sectional (n=832)
Yes
More than half of patients with coronary artery disease in Poland have uncontrolled blood pressure 6-18 months post-discharge, highlighting significant gaps in secondary prevention.
Objective: The aim of this study was to evaluate blood pressure (BP) control among participants in the POLASPIRE III study. Design and method: POLASPIRE III was a cross-sectional, multicenter survey. Fifteen cardiology departments across ten administrative regions in Poland participated in the study. Eligible patients were adults aged >=18 years who had been hospitalized for an acute coronary syndrome or undergone a myocardial revascularization procedure. Participants were recruited and interviewed 6–18 months after discharge. Data were collected between January and August 2025, using standardized procedures and identical instruments across all participating centers. Uncontrolled blood pressure was defined as >=130/80 mmHg in individuals aged =140/90 mmHg in those aged >=80 years, in accordance with European guidelines. BP control was analysed by sex, age, educational level, income, and body mass index (BMI). The use of antihypertensive drug classes was also evaluated. Results: 832 patients (72.8% male; median age: 66.2 58.4-72.9 years among men vs. 70.7 65.1-75.7 years among women, p=65 years). Marked socioeconomic gradients were observed: uncontrolled BP was more frequent among individuals with primary education compared with those with higher education (62.8% vs. 50.0%; p<0.05), and among patients with low income compared with high income (64.4% vs. 48.9%; p<0.05). Obesity was strongly associated with failure to achieve BP targets. 65,4% patients with obesity had uncontrolled BP (vs. 46.9% among those with healthy weight). Although antihypertensive drug use was high – beta-blockers (85.9%), ACE inhibitors (65.3%), diuretics (26.9%), calcium channel blockers (22.5%), and angiotensin receptor blockers (22.4%) – more than half of treated patients remained uncontrolled. Conclusions: Results demonstrate a high prevalence of hypertension, strongly associated with age, obesity, and socioeconomic disadvantage. Findings highlight the need for population-level preventive strategies focused on lifestyle modification and reduction of social inequalities to limit the burden of hypertension and cardiovascular disease.
Burzyńska et al. (Fri,) conducted a cross-sectional in Coronary artery disease (n=832). Secondary prevention was evaluated on Uncontrolled blood pressure (>=130/80 mmHg in <80 years and >=140/90 mmHg in >=80 years). Among patients 6-18 months post-ACS or revascularization, 57.5% had uncontrolled blood pressure, with higher rates in those with obesity (65.4% vs 46.9%) and lower socioeconomic status.