What question did this study set out to answer?

The study aims to assess the utility of diagnostic tests in reclassifying cardiovascular risk in low or moderate risk hypertensive patients.

March 10, 2011European Journal of Preventive CardiologyOpen Access

Cardiovascular risk assessment in hypertensive patients with tests recommended by the European Guidelines on Hypertension

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Arterial hypertension (n=391). Intervention: Non-routine diagnostic tests (ESH-ESC 2007 guidelines) vs. Routine tests. Primary outcome: Reclassification to high cardiovascular risk among low or moderate risk patients.

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Key result

Using non-routine diagnostic tests recommended by ESH-ESC guidelines reclassified 25.4% of hypertensive patients initially considered at low or moderate risk to high cardiovascular risk.

Why the study?

Do non-routine diagnostic tests recommended by the ESH-ESC guidelines improve cardiovascular risk reclassification in patients with recently diagnosed arterial hypertension?

Population

391 patients aged between 30 and 80 years recently diagnosed with arterial hypertension in the Primary Care…

Comparison

Non-routine diagnostic tests recommended by the… vs Routine diagnostic tests alone.

Design

Cross-sectional

Authors

MGManuel A. Gómez‐MarcosUniversidad de Salamanca LGLuis J. González-ElenaInstituto de Investigación Biomédica de Salamanca JRJosé I. Recio-RodríguezUniversidad de Salamanca

Discussion

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Implication

May support refined risk stratification in hypertension; leaves open effects on outcomes and management.

Key Points

The study aims to assess the utility of diagnostic tests in reclassifying cardiovascular risk in low or moderate risk hypertensive patients.
Cross-sectional study involving 391 patients aged 30-80 with recently diagnosed arterial hypertension.
Evaluation followed ESH-ESC 2007 Guidelines to assess risk factors, organ damage, and cardiovascular disease.
Used echocardiography, carotid ultrasound, and other tests for comprehensive risk classification.
55.8% of patients were identified as high risk with routine tests (level 1).
An additional 10.4% of initially classified low or moderate risk patients were reclassified to high risk after level 2 testing.
Overall, 25.4% of low or moderate risk patients were reclassified as high risk using additional non-routine tests.

Study Design

Type

Cross-Sectional (n=391)

Structured PICO

Do non-routine diagnostic tests recommended by the ESH-ESC guidelines improve cardiovascular risk reclassification in patients with recently diagnosed arterial hypertension?

Population

391 patients aged 30 to 80 years recently diagnosed with arterial hypertension in a primary care setting, evaluated for cardiovascular risk reclassification using non-routine diagnostic tests.

Exposure

Non-routine diagnostic tests recommended by the 2007 ESH-ESC Guidelines (echocardiography, carotid ultrasound, albumin/creatinine ratio, estimated glomerular filtration rate, ankle-brachial index, pulse wave velocity, and retinography).

Comparator

Routine diagnostic tests alone.

Outcome

Change to high cardiovascular risk classification.surrogate

The use of non-routine diagnostic tests recommended by ESH-ESC guidelines reclassifies a significant proportion (25.4%) of low or moderate risk hypertensive patients to high cardiovascular risk.

Cite This Study

Gómez‐Marcos et al. (2011) conducted a cross-sectional in Arterial hypertension (n=391). Non-routine diagnostic tests (ESH-ESC 2007 guidelines) vs. Routine tests was evaluated on Reclassification to high cardiovascular risk among low or moderate risk patients. Using non-routine diagnostic tests recommended by ESH-ESC guidelines reclassified 25.4% of hypertensive patients initially considered at low or moderate risk to high cardiovascular risk.

synapsesocial.com/papers/6a69e7662de5377d00e87a4f https://doi.org/10.1177/1741826711401981

Topics

Hypertension management Women and heart disease

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Cardiovascular risk assessment in hypertensive patients with tests recommended by the European Guidelines on Hypertension

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

Cardiovascular risk assessment in hypertensive patients with tests recommended by the European Guidelines on Hypertension

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

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