Influence of short-term follow-up on cardiovascular risk status among high-risk hypertensive patients in Turkey: an observational study [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2016; 44(2): 137-147 | DOI: 10.5543/tkda.2016.04324

Influence of short-term follow-up on cardiovascular risk status among high-risk hypertensive patients in Turkey: an observational study

Omer Kozan, Rıskman Study Group
Department Of Cardiology, Dokuz Eylul University, Faculty Of Medicine, Izmir, Turkey


OBJECTIVE
The present study was designed to evaluate clinical practice of cardiovascular (CV) risk management and the influence of follow-up on risk profile among hypertensive patients.

METHODS
Of the 1023 patients enrolled in the cross-sectional phase, data from 397 high-risk patients (mean [SD] age, 59.2 [11.5] years; 62.5% female) who had attended at least 1 follow- up visit within 9 months of (longitudinal phase) enrollment were included in the present non-interventional study of CV risk factors, 10-year coronary heart disease (CHD) risk estimate, risk level, and risk management.

RESULTS
Ten-year CHD risk (p<0.001), and percentages of patients with high risk (20.7 vs 13.4%) and very high risk (19.6 vs 6.6%) significantly decreased upon follow-up (p<0.001). Significant reductions in systolic and diastolic blood pressure (BP), and low-density lipoprotein (LDL) cholesterol (p<0.001 for each), and an increase in high-density lipoprotein (HDL) cholesterol (p=0.007) were associated with a positive shift in risk grouping (42.8%). The shift toward lower-risk grouping was more prominent in patients with diabetes (5.5% vs 41.1%) and metabolic syndrome (19.2% vs 34.2%; p<0.001 for each). Achievement of target BP significantly improved upon follow-up, particularly in lower-risk groups (p<0.001).

CONCLUSION
Results indicate better CV risk management in hypertensive patients, with a pronounced decrease in 10- year CV risk estimate and a switch to lower-risk grouping, particularly in patients with diabetes mellitus and metabolic syndrome, associated with close follow-up.

Keywords: Cardiovascular risk management, hypertension; 10-year coronary heart disease risk

How to cite this article
Omer Kozan, Rıskman Study Group. Influence of short-term follow-up on cardiovascular risk status among high-risk hypertensive patients in Turkey: an observational study. Turk Kardiyol Dern Ars. 2016; 44(2): 137-147

Corresponding Author: Omer Kozan, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
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