Current European guidelines for management of arterial hypertension: Are they adequate for use in primary care?. Halfdan Petursson Linn Getz Johann Agust Sigurdsson Irene Hetlevik. Objectives.
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Johann Agust Sigurdsson
* Pulse pressure = Systolic BP – diastolic BP
HUNT 2 estimate
Dyslipidemia (total- and HDL cholesterol)
1° relatives with CVD
Pulse pressure of the elderly
Guidelines but not HUNT 2
Fasting blood values: triglycerids, glucose, LDL
Left ventricular hypertrophy indicated on echo/EKG
Renal disease, microalbuminuriaThe risk factors
Total: 100% = 100 000 adults after standardisationData from those included only (51 066)
The excluded group
Do 75% or more haverisk above average?
99% of all 50-64 y.o. should attend regular follow-up visits or receive drug treatment for high bp!
Follow-up visits / 100,000 adults / year = 296,624
Number of GP positions = 296,624 / 3,000 consultations / year = 99
Mortality from CVD per 100.000 or receive drug treatment for high bp!1970-2006
WHO Health for all database, Aug 2008