Income From Coronary Disease In Mediterranean Population Hypertensive > 65 Years

Objective: In Spain, high blood pressure is a health problem of the first magnitude. The importance of the determination of cardiovascular risk (CVR) associated with hypertension is based on the evidence that most hypertensive patients have other additional CVR factors that, when simultaneous with hypertension, enhance each other, giving rise to a total CV risk that is greater than the sum of its components. Our objective was to study the incidence and characteristics of patients who required admission for coronary disease in this population group. Design and method: Epidemiological, observational, longitudinal, prospective and multicentric study of the care setting, carried out in the Valencian Community with a hypertensive population over 65 years of age that went to the Health Center or to a Hospital Unit of hypertension (FAPRES Registry). The collected data have been entered into a computer database for further analysis of the data using the statistical program IBM - SPSS Windows version 20 with a statistical significance of p < 0.05. Results: 4.4% of the patients required hospital admission due to the presence of a coronary event, including in those admissions those caused by angina, acute myocardial infarction or coronary revascularization (percutaneous transluminal coronary angioplasty and/or surgery). These patients presented the following statistically significant differences: higher percentage of male sex. higher frequency of a history of diabetes, dyslipidaemia, heart failure and/or coronary heart disease. lower diastolic blood pressure. higher percentage in beta-blocker, antiaggregant and/or statin treatment. more prevalence of left ventricular hypertrophy in the electrocardiogram. In the multivariate analysis, the factors associated with admission due to coronary disease were previous coronary disease and the use of antiplatelet therapy. The higher mean diastolic blood pressure was associated with the decrease in coronary events. Conclusions: The history of coronary artery disease and the decrease in diastolic blood pressure increase the admissions for new episodes of coronary disease, confirming the existence of the so-called J-curve in hypertensive patients over 65 years of age.