IMPROVEMENT IN HYPERTENSION CONTROL AFTER A 2-YEAR PARTICIPATION IN A WEB-BASED PROGRAM ON HIGH BP MANAGEMENT: 6C.01
Manuel Gorostidi, Àngels Sierra, J Segura, JR Banegas, J Ezkurdia, FJ Porras, MV V-Escudero, Beatriz Álvarez-Álvarez, JL Llisterri, J Alonso, A Roca-Cusachs, Luis Miguel Ruilope · Journal of Hypertension · 2010
Objective: To examine changes in hypertension control reported by physicians participating in a web-based project for management of patients with high BP. Methods: We selected physicians participating in the Spanish Society of Hypertension ABPM Registry, each one recruiting >20 subjects both in 2005 (group 1 or G1) and 2007 (group 2 or G2) (n = 71). Data between both groups were compared. Cases with repeated ABPM were discarded. Office BP was considered as controlled when <140/90 mmHg and ambulatory BP was considered as controlled when 24-h BP <130/80 mmHg. Results: G1 and G2 included 4,158 and 3,253 patients respectively. Age (62.3 vs 62.7 years), duration of hypertension (8.3 vs 8.1 years), body mass index (29.5 vs 29.3 kg/m2), presence of at least one additional cardiovascular risk factor (91.1% vs 90.3%), prevalence of diabetes (21.9% vs 20.7%), and prevalence of established cardiovascular disease (16.8 vs 15.6%) were similar in both groups. Male sex was 49.0% in G1 and 51.6% in G2, p = 0.03. Office BP was 151.2/86.6 mmHg in G1 and 146.8/84.2 mmHg in G2 (p < 0.001), and control rates were 22.8% and 27.9% respectively (p < 0.001). Mean 24-h BP was 130.4/75.4 mmHg in G1 and 129.2/74.7 mmHg in G2 (p < 0.01), and ambulatory control rates 45.1% and 48.0% respectively (p = 0.022). Combination antihypertensive therapy was more frequently used in 2007 (68.5%) than in 2005 (63.3%), p < 0.001. Conclusions: A modest improvement in 2-year hypertension control rate was observed in patients attended by participant physicians in this web-based ABPM registry. Programs designed to help physicians in daily management of hypertensive patients may be useful for ameliorating hypertension control.