Authors: Gorostidi Manuel Prieto Miguel A Marin Rafael Riesgo Alba Tranche Salvador
Publish Date: 2005/05/01
Volume: 18, Issue: S4, Pages: 129A-129A
Abstract
Manuel Gorostidi Miguel A Prieto Rafael Marin Alba Riesgo Salvador Tranche P340 Renal insufficiency is the most prevalent targetorgan disease in primary careattended essential hypertension American Journal of Hypertension Volume 18 Issue S4 May 2005 Page 129A https//doiorg/101016/jamjhyper200503358A multicenter crosssectional observation of unselected patients with treated essential hypertension attending primary health centers was performed between January and September 2003 Prevalences of targetorgan diseases were evaluated Renal function was estimated by Levey equation An eGFR 60 ml/min/173 m2 was considered as renal insufficiency RIData from 2517 patients were analyzed 613 female Mean age was 691 ± 12 years Mean systolic BP was 139 ± 16 mmHg and mean diastolic BP pressure was 79 ± 9 mmHg Prevalences of targetorgan diseases were RI 369 coronary heart disease CHD 127 left ventricular hypertrophy 125 stroke 89 heart failure HF 56 and peripheral arterial disease PAD 44 RI was the most frequent targetorgan disease within men 249 vs CHD 158 stroke 114 HF 55 and PAD 77 and women 444 vs CHD 109 stroke 74 HF 58 and PAD 23 and within patients aged 40 to 59 years 71 vs CHD 50 stroke 34 HF 11 and PAD 09 60 to 69 years 326 vs CHD 102 stroke 57 HF 29 and PAD 34 and 70 or more years 509 vs CHD 168 stroke 126 HF 85 and PAD 63 Percentage of patients with RI but without cardiovascular disease or diabetes mentioned as candidates for secondary prevention was 199Renal disease is simultaneously a major risk factor and a targetorgan disease highly prevalent in hypertensive patients followed at the primary care level RI can be an associated condition more prevalent than classic targetorgan diseases especially in the elderly Adequate screening of renal impairment as recommended by recent guidelines must be at the basis of risk stratification and targetorgan disease assessment
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