دورية أكاديمية
Cardiovascular health and target end-organ damage and comorbidities in hypertensive patients from a Spanish primary care urban population.
| العنوان: | Cardiovascular health and target end-organ damage and comorbidities in hypertensive patients from a Spanish primary care urban population. |
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| المؤلفون: | Armas-Padrón AM; La Cuesta Primary Healthcare Centre, Universidad de la Laguna, La Laguna, E-38320 Tenerife, Spain., Sicilia-Sosvilla M; La Cuesta Primary Healthcare Centre, Universidad de la Laguna, La Laguna, E-38320 Tenerife, Spain., Ruiz-Esteban P; Nephrology Department, Hospital Regional Universitario de Málaga, University of Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), REDinREN (RD16/0009/0006 and RICORS RD21/0005/0012), E-29010 Málaga, Spain., Torres A; Nephrology Department, Instituto de Tecnologías Biomédicas-Universidad La Laguna, Hospital Universitario de Canarias, REDinREN (RD16/0009/0031), E-38320 Tenerife, Spain., Hernández D; Nephrology Department, Hospital Regional Universitario de Málaga, University of Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), REDinREN (RD16/0009/0006 and RICORS RD21/0005/0012), E-29010 Málaga, Spain. Electronic address: domingohernandez@gmail.com. |
| المصدر: | Nefrologia [Nefrologia (Engl Ed)] 2024 Jan-Feb; Vol. 44 (1), pp. 77-89. Date of Electronic Publication: 2023 May 05. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier España, Place of publication not identified Country of Publication: Spain NLM ID: 101778581 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2013-2514 (Electronic) Linking ISSN: 20132514 NLM ISO Abbreviation: Nefrologia (Engl Ed) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Madrid, Spain] : Elsevier España, Place of publication not identified, [200-]- |
| مواضيع طبية MeSH: | Hypertension*/epidemiology , Cardiovascular Diseases*/epidemiology , Cardiovascular Diseases*/etiology, Male ; Humans ; Female ; Risk Factors ; Urban Population ; Primary Health Care |
| مستخلص: | We hypothesized that a poorer cardiovascular health status is related to a higher risk of hypertension-mediated organ-damage (HMOD) or hypertension-related comorbidities (HRC). We assessed the relationship between cardiovascular health metrics (CVHM) and HMOD-HRC in 243 hypertensive patients from primary care center followed for two years. We recorded the baseline CVHM score (Life's Simple 7) plus clinical data, including prevalent and incident HMOD-HRC, hospitalization and mortality. The prevalence of ideal CVHM scores was very low in both men and women. The patients with healthier CVHM scores were younger, and had a lower prevalence of diabetes, cardiovascular disease and chronic kidney disease. We recorded 264 cases of HMOD-HRC (225 at baseline and 39 during follow-up). Nine patients died and 64 had any-cause hospitalization during follow-up. A lower prevalence of HMOD-HRC and unfavorable outcomes was observed as the number of ideal CVHM increased (P<0.05). Multivariate logistic regression adjusted for confounders showed a lower CVHM score (0-1) was associated with increased odds of HMOD-HRC (4.04, 95% CI 1.26-12.94; P=0.019) and composite endpoint (HMOD-HRC, death or all-cause hospitalization) (3.43, 95% CI 1.19-9.92; P=0.023). Individual components were less predictive than the cumulative CVHM score. Few hypertensive patients in this urban population had ideal CVHM scores. An inverse relationship between scores and outcomes (HMOD-HRC, death or hospitalizations) was observed. Interventions to increase this score may improve prognosis among community-based hypertensive patients. (Copyright © 2022 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cardiovascular health metrics; Cardiovascular risk factors; Comorbilidades relacionadas con la hipertensión; Daño orgánico provocado por la hipertensión; Factores de riesgo cardiovascular; Hipertensión; Hypertension; Hypertension-mediated organ damage; Hypertension-related cormobidities; Mortalidad; Mortality; Métricas de salud cardiovascular |
| تواريخ الأحداث: | Date Created: 20230507 Date Completed: 20240312 Latest Revision: 20240319 |
| رمز التحديث: | 20240320 |
| DOI: | 10.1016/j.nefroe.2023.04.004 |
| PMID: | 37150674 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2013-2514 |
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| DOI: | 10.1016/j.nefroe.2023.04.004 |