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Understanding High Blood Pressure Risks: A Closer Look at Treatment and Outcomes in Belgium

This report explores the elevated risks associated with high blood pressure (BP) in patients, particularly those with diabetes or target organ damage. It highlights the importance of secondary prevention strategies for these high-risk individuals. Findings show that over 57% of patients aged 80 and older with systolic BP over 160 mmHg received intensified therapy, while under 17% received treatment for moderate hypertension. The study emphasizes ongoing evaluation of hypertension guidelines and patient management, reflecting significant implications for life expectancy and health outcomes.

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Understanding High Blood Pressure Risks: A Closer Look at Treatment and Outcomes in Belgium

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  1. BELGIUM 27th !!!

  2. 1) HTA DE GRADE 3 = TOUJOURS RISQUE > ELEVE

  3. 4 3 2) PREVENTION SECONDAIRE ou DIABETE + ATTEINTE ‘ORGANE CIBLE’/FACTEUR DE RISQUE = RISQUE ELEVE PEU IMPORTE LA PA

  4. 3) Si PAS >140 et/ou 90 mmHg et • >3 facteurs de risque CV • ou atteinte ‘organe cible’ • ou diabète = RISQUE ELEVE

  5. LIFE EXPECTANCY AT 60 YRS IN 2012

  6. Ph van de Borne, L Missault, A Persu, W Van Mieghem for the COME STAI INVESTIGATORS

  7. RESULTS (2): Nr of medications reported in n:7961 patients (0 vs. 1 vs. 2 or more drugs) S: systolic; D: diastolic; BP: Blood pressure; bpm: beat per minute; * p<0.0001

  8. Less intense treatment in the elderly : Among 495 patients aged ≥80 years, and SBP> 140 mmHg, therapy was intensified:in 57% when SBP > 160 mmHg (n=130) in 17% when 140 <SBP<159 mmHg* (n=365) *p Chi² <0.0001

  9. Comparison of Hypertension Guidelines 2011-2014 Lindholm LH, Carlberg B. HT News 2014, Opus 35

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