Key result
In Irish primary care, blood pressure control was achieved in 48.6% of nondiabetic patients (<140/90 mm Hg) and only 16.7% of diabetic patients (<130/80 mm Hg).
Cross-Sectional (n=1,534)
Yes
Blood pressure control remains suboptimal in Irish primary care, particularly among diabetic patients, highlighting the need for improved guideline adherence.
Suboptimal BP control persists in Irish primary care, especially in diabetes; leaves open whether targeted interventions improve outcomes.
In Ireland, cardiovascular disease is a major cause of death. However, blood pressure (BP) goal achievement is unsatisfactory. The authors aimed to document BP control and increase awareness. A total of 1534 patients were enrolled in the study, with a mean age of 64.7+/-11.9 years (53.8% women). Duration of hypertension was 8.7+/-7.7 years, and 14.6% had diabetes, 13.8% had coronary artery disease, and 40.5% were taking antihypertensive monotherapy. beta-Blockers (39.8%), angiotensin-converting enzyme inhibitors (32.2%), and angiotensin receptor blockers (22.0%) were prescribed most frequently. Mean BP was 136.0+/-6.1 mm Hg/89.5+/-5.0 mm Hg in nondiabetic patients (48.6% <140/90 mm Hg) and 131.0+/-7.4 mm Hg/81.7+/-4.6 mm Hg in diabetic patients (16.7% <130/80 mm Hg). Diet, exercise, and lifestyle modifications (63.5%) were frequently recommended. Increased patient awareness and compliance together with the adherence of physicians to current guidelines and greater willingness to take action in patients with uncontrolled hypertension should help in improving BP control and thus reduce cardiovascular risk.
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Buckley et al. (2009) conducted a cross-sectional in Hypertension (n=1,534). Antihypertensive therapy was evaluated on Blood pressure control (<140/90 mm Hg in nondiabetic patients and <130/80 mm Hg in diabetic patients). In Irish primary care, blood pressure control was achieved in 48.6% of nondiabetic patients (<140/90 mm Hg) and only 16.7% of diabetic patients (<130/80 mm Hg).
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