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Effect of coexisting ischemic heart disease on prevalence of prescribing of antihypertensive drugs in hypertensive patients in Poland
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Abstract
The aim of the study was to compare the frequency of prescriptions of different classes of antihypertensive drugs in patients with coexisting ischaemic heart disease or without that coexistence.
Material and methods Data of 15 056 patients from the questionnaires filled by general practitioners were analyzed. The diagnosis of hypertension and/or ischaemic heart disease was the inclusion criterion. In adequate questionnaires relating hypertension and/or ischaemic heart disease questions about the demographic data, the diagnosis, previous treatment, current symptoms, blood pressure values measured during the visit, reasons and the modification of treatment were included.
Results Beta-blockers were the most frequently used class of drugs (3409 patients - 58.1%) in the group of hypertensive patients, they were used with the same frequency in patients with the coexisting of the ischaemic heart disease (2981 patients - 60.0%). Angiotensine converting enzyme inhibitors (ACE I) were prescribed to 2966 hypertensive patients (50.6%), while in the class with coexisting ischaemic heart disease - to 3796 patients (76.4%), what makes them the most frequently used class of drugs in these patients. Diuretics were used in 1927 patients (32.9%) with hypertension, and even more frequently in patients with hypertension and ischaemic heart disease (2355 - 47.4%). Similarly, calcium antagonists were prescribed to 15.8% of hypertensive patients and 24.0% of patients with hypertension and ischaemic heart disease (47.3%). In case of ineffectiveness treatment beta-blockers were the most frequently added hypotensive drugs in patients with hypertension (66.1%) as well as in patients with coexistence of the ischaemic heart disease (47.3%).
Conclusions 1. Beta-blockers and angiotensine converting enzyme inhibitors are the most frequently used hypotensive drugs independently of the coexistence of the ischaemic heart disease.
2. In hypertensive patients with concomitant ischaemic heart discase angiotensine converting enzyme inhibitors, diuretics and calcium antagonists were used with more frequently than in patients with non-complicated hypertension, while the coesistance of ischaemic heart disease had no impact on the frequency of the beta-blockers prescriptions.
3. The current recommendations of the Polish Society of Hypertension (PTNT) and the Polish Cardiac Society (PTK) concerning the individualization of the antihypertensive therapy in patients with concomitant ischaemic heart disease are not widely followed.
Abstract
The aim of the study was to compare the frequency of prescriptions of different classes of antihypertensive drugs in patients with coexisting ischaemic heart disease or without that coexistence.
Material and methods Data of 15 056 patients from the questionnaires filled by general practitioners were analyzed. The diagnosis of hypertension and/or ischaemic heart disease was the inclusion criterion. In adequate questionnaires relating hypertension and/or ischaemic heart disease questions about the demographic data, the diagnosis, previous treatment, current symptoms, blood pressure values measured during the visit, reasons and the modification of treatment were included.
Results Beta-blockers were the most frequently used class of drugs (3409 patients - 58.1%) in the group of hypertensive patients, they were used with the same frequency in patients with the coexisting of the ischaemic heart disease (2981 patients - 60.0%). Angiotensine converting enzyme inhibitors (ACE I) were prescribed to 2966 hypertensive patients (50.6%), while in the class with coexisting ischaemic heart disease - to 3796 patients (76.4%), what makes them the most frequently used class of drugs in these patients. Diuretics were used in 1927 patients (32.9%) with hypertension, and even more frequently in patients with hypertension and ischaemic heart disease (2355 - 47.4%). Similarly, calcium antagonists were prescribed to 15.8% of hypertensive patients and 24.0% of patients with hypertension and ischaemic heart disease (47.3%). In case of ineffectiveness treatment beta-blockers were the most frequently added hypotensive drugs in patients with hypertension (66.1%) as well as in patients with coexistence of the ischaemic heart disease (47.3%).
Conclusions 1. Beta-blockers and angiotensine converting enzyme inhibitors are the most frequently used hypotensive drugs independently of the coexistence of the ischaemic heart disease.
2. In hypertensive patients with concomitant ischaemic heart discase angiotensine converting enzyme inhibitors, diuretics and calcium antagonists were used with more frequently than in patients with non-complicated hypertension, while the coesistance of ischaemic heart disease had no impact on the frequency of the beta-blockers prescriptions.
3. The current recommendations of the Polish Society of Hypertension (PTNT) and the Polish Cardiac Society (PTK) concerning the individualization of the antihypertensive therapy in patients with concomitant ischaemic heart disease are not widely followed.
Keywords
hypertension; ischaemic heart disease; antihypertensive treatment
Title
Effect of coexisting ischemic heart disease on prevalence of prescribing of antihypertensive drugs in hypertensive patients in Poland
Journal
Issue
Article type
Original paper
Pages
259-270
Published online
2006-08-08
Page views
511
Article views/downloads
1682
Bibliographic record
Nadciśnienie tętnicze 2006;10(4):259-270.
Keywords
hypertension
ischaemic heart disease
antihypertensive treatment
Authors
Katarzyna Kolasińska-Malkowska
Radosław Szczęch
Krzysztof Narkiewicz
Andrzej Tykarski