Van der Niepen P, Van de Borne P, Devroey D, Thijs V, Fieuw A on behalf of the BELGICA-STROKE committee. Evolution of blood pressure and cholesterol in hypertensive patients in the prospective BELGICA-STROKE study. Congress of the Belgian Society for Internal Medecine, December 5-6th,2009, Brussels.
Eerste auteur: Van der Niepen P
Jaar: 2009
Type: Congres
Abstract:
INTRODUCTION
Risk calculation for cardiovascular (CV) mortality (SCORE) or stroke risk (Framingham) is available in clinical practice. The use of these risk calculations may improve the management of modifiable risk factors such as blood pressure (BP) and total cholesterol (TC). The primary objective of the study is to evaluate the impact of the
implementation of an online Framingham stroke and SCORE risk
calculation one year after its implementation in a hypertensive population not at goal for its BP. The aim of this analysis is to evaluate the impact of an online risk prediction tool on the evolution of BP and TC during 12 and 28 months of the study.
METHODS and PATIENTS
Prospective study in primary care from May 2005 to February 2008. Men and women > 40 years, with BP not at goal defined as systolic blood pressure (SBP) >140 mmHg and diastolic blood pressure (DBP) >90 mmHg for all patients, and SBP >130 mmHg and DBP >80 mmHg for diabetic patients. Duration of the study was 28 months, patients were seen every 4 months.
RESULTS
The largest improvement of BP occurs between baseline and the subsequent visit. Further improvement after this is observed and this persists beyond 4 visits. Both groups of patients show improvement of BP and TC. The use of an online risk calculator did not seem to further improve both CV risk factors. The inclusion of patients in an interactive follow-up program improved hypertension and lipid management, probably reflecting enhanced knowledge and motivation of both physician and patient.