Key result
The rate of blood pressure control (<140/90 mmHg) among treated hypertensive patients in Slovakia improved from 45.6% in 2019 to 66% in 2021.
Why the study?
High cardiovascular mortality in Slovakia is closely related to failure in reaching target blood pressure ranges, highlighting the need to implement 2018 ESC/ESH guidelines into clinical practice.
Absolute Event Rate: 66% vs 45.6%
The implementation of ESC/ESH guidelines and use of fixed-dose combinations, along with home BP monitoring, is associated with improved hypertension control rates in Slovakia, though challenges remain for obese patients.
Improved control rates support guideline-directed strategies including fixed-dose combinations; leaves open causal attribution in this Level 5 observational analysis.
Arterial hypertension (AH) is a very common disease with increasing incidence and prevalence. AH becomes worldwide the main preventable cause of the preventable deaths. Therefore, it is very important to obtain early diagnose and convenient treatment. Still high cardiovascular mortality in Slovakia, where we have a position at the tail compared to other European countries, very closely related to the failure to obtain treatment blood pressure (BP) target ranges. AH rarely occurs in isolation, and often clusters with other CV risk factors such as dyslipidemia and obesity. 2018 ESC/ESH Guidelines for the management of arterial hypertension has brought several new concepts how to manage arterial hypertension. However, it is important to implement the recommendations of the European Society of Cardiology to everyday clinical practice in each country.
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Vachulová et al. (2022) conducted a review in Arterial hypertension (n=4,018). Implementation of 2018 ESC/ESH guidelines and Charter 70/2023 initiative vs. Care in 2019 was evaluated on Blood pressure control (<140/90 mmHg). The rate of blood pressure control (<140/90 mmHg) among treated hypertensive patients in Slovakia improved from 45.6% in 2019 to 66% in 2021.
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