What question did this study set out to answer?

To assess determinants of hypertension diagnosis, treatment adherence, and blood pressure control among patients hospitalized for ischaemic heart disease.

January 1, 2005Blood PressureOpen Access

Determinants of poor hypertension management in patients with ischaemic heart disease

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Population

1051 consecutive patients hospitalized due to ischaemic heart disease with a discharge diagnosis of…

Design

Cohort

Follow-up

6-18 months after discharge

Authors

PJPiotr JankowskiPreventive Cardiology KKKalina Kawecka−JaszczPreventive Cardiology GBGrzegorz BiloPreventive Cardiology

Discussion

Member takes

Implication

Uncontrolled hypertension remains common in IHD secondary prevention; observational data leave open whether awareness interventions improve outcomes.

Key Points

To assess determinants of hypertension diagnosis, treatment adherence, and blood pressure control among patients hospitalized for ischaemic heart disease.
Reviewed hospital records of 1,051 consecutive patients hospitalized for myocardial infarction (n=290), unstable angina (n=247), percutaneous coronary intervention (n=259), or coronary artery bypass grafting (n=255) across three university and three community cardiac departments.
Conducted follow-up interviews 6 to 18 months after discharge to evaluate hypertension awareness, medication status, and blood pressure control.
Among 70.2% of patients meeting hypertension criteria at follow-up, 17.5% lacked an in-hospital diagnosis and 7.1% were untreated; non-treatment was associated with irregular health checks (OR 16.3, 95% CI 4.1–64.0), alcohol use (OR 3.3, 95% CI 1.5–7.0), and unstable angina (OR 2.7, 95% CI 1.3–5.8).
Uncontrolled blood pressure (≥140/90 mmHg) was present in 68.9% of hypertensive patients, with older age (OR 1.3, 95% CI 1.0–1.6) and lack of hypertension awareness (OR 0.6, 95% CI 0.3–1.0) serving as the primary predictors of poor control.

Structured PICO

Population

1051 consecutive patients hospitalized due to ischaemic heart disease with a discharge diagnosis of myocardial infarction (n=290), unstable angina (n=247), percutaneous coronary intervention (n=259), or coronary artery bypass grafting (n=255) at three university or three community cardiac departments.

Outcome

Factors influencing hypertension management and blood pressure control (probability of not being on antihypertensive medication and uncontrolled hypertension)surrogate

Hypertension management in the secondary prevention of ischaemic heart disease is suboptimal, with nearly 70% of hypertensive patients having uncontrolled blood pressure, driven largely by older age and lack of hypertension awareness.

Cite This Study

Jankowski et al. (2005) studied this question.

synapsesocial.com/papers/6a70b96a5d37378ac1dddc00 https://doi.org/10.1080/08037050500239962

Topics

Hypertension management Women and heart disease

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Implication

Uncontrolled hypertension remains common in IHD secondary prevention; observational data leave open whether awareness interventions improve outcomes.

Determinants of poor hypertension management in patients with ischaemic heart disease

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Determinants of poor hypertension management in patients with ischaemic heart disease

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

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