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Vol 17, No 1 (2022)
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Published online: 2022-01-14

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Prevalence and control of arterial hypertension in Mazovian men and women enrolled in the POLASPIRE study

Małgorzata Setny1, Radosław Piątkowski2, Arkadiusz Rak3, Agnieszka Krzykwa1, Piotr Kułak4, Piotr Jankowski56, Dariusz Kosior47
Folia Cardiologica 2022;17(1):11-19.

Abstract

Introduction. Arterial hypertension (AH) is one of the major modifiable risk factors for cardiovascular disease, which increases cardiovascular morbidity and mortality. The aim of this study was to evaluate AH prevalence and treatment control in men and women with coronary artery disease. Material and methods. The study included patients enrolled in the POLASPIRE trial in the Mazovian region. Definitions of risk factors and therapeutic targets were based on the 2016 European Society of Cardiology guidelines for cardiovascular prevention. Results. AH was diagnosed in 88% of women and 81% of men (p = 0.56). Among AH patients, women were older than men (p < 0.001). There were no statistically significant gender-related differences in the prevalence of diabetes mellitus (p = 1.00), dyslipidemia (p = 0.42), and obesity (p = 0.47). Women were more likely to have a history of stroke (p < 0.001), reduced glomerular filtration rate values (p < 0.001), elevated low-density lipoprotein cholesterol (p = 0.029), and non-high-density lipoprotein cholesterol levels (p = 0.022) as well as echocardiographic features of left ventricular diastolic dysfunction (p = 0.006). 51% of women and 50% of men (p = 1.00) did not achieve blood pressure targets. There were no significant differences between groups regarding pharmacotherapy for AH. Conclusions. The prevalence of AH in patients with coronary artery disease is high. A significant percentage of men and women do not achieve recommended blood pressure values. There is a need to improve the effectiveness of antihypertensive treatment.

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