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• W1991662703 abstract "Se ha publicado recientemente la prevalencia de hipertensión resistente pero no existen estudios específicos sobre su demografía. Este estudio tiene como objetivo analizar la demografía y las características clínicas de la hipertensión resistente en una amplia muestra de pacientes en atención primaria. Estudio transversal de todas las historias clínicas informatizadas de pacientes hipertensos en el Área 6 de Madrid (España). De 63.167 pacientes, se seleccionó a 48.744 con tratamiento antihipertensivo; de estos, se analizó a los que tenían criterios de hipertensión resistente según la American Heart Association. Un total de 6.292 pacientes tenían hipertensión resistente, lo cual representa el 9,9% del total de hipertensos y el 12,9% de los tratados; el 5,5% era < 50 años (el 8,5% varones y el 3,2% mujeres) y el 24,7% era > 80 años (el 15,8% varones y el 31,4% mujeres) (p < 0,001). En los pacientes < 50 años, la hipertensión resistente se asoció a sexo masculino (odds ratio mujeres/varones = 0,006; intervalo de confianza del 95%, 0,000-0,042; p < 0,001), presión arterial sistólica, obesidad, ictus y enfermedad renal crónica (p < 0,001). En los pacientes > 80 años, se asoció a sexo femenino (odds ratio mujeres/varones = 1,27; intervalo de confianza del 95%, 1,08-1,10; p = 0,004), presión arterial sistólica, diabetes mellitus, obesidad, enfermedad renal crónica, cardiopatía isquémica y fibrilación auricular (p < 0,001). Más del 50% de los pacientes > 80 años con hipertensión resistente tenían enfermedad cardiovascular. De cada 4 pacientes con hipertensión resistente, 1 es > 80 años. La hipertensión resistente está asociada a la enfermedad cardiovascular, al varón < 50 años y la mujer > 80. La prevalencia de enfermedad cardiovascular en el anciano con hipertensión resistente es elevada. The prevalence of resistant hypertension has recently been reported, but there are no studies on its demography. This study aimed to examine the demography and clinical characteristics of resistant hypertension in a large sample of primary care patients. A cross-sectional study was performed of all computerized medical records of hypertensive patients in Health Area 6 of Madrid (Spain). Of 63 167 hypertensive patients, we selected 48 744 with prescription of antihypertensive medication; of these, we selected those who met the American Heart Association criteria for resistant hypertension. A total of 6292 patients had resistant hypertension, representing 9.9% of all hypertensive patients and 12.9% of those treated. A total of 5.5% were < 50 years (8.5% men and 3.2% women) and 24.7% were > 80 years (15.8% men and 31.4% women) (P < .001). In patients < 50 years, resistant hypertension was associated with male sex (odds ratio female/male = 0.006; 95% confidence interval, 0.000-0.042; P < .001), systolic blood pressure, obesity, stroke, and chronic kidney disease (P < .001). In those > 80 years, resistant hypertension was associated with female sex (odds ratio female/male = 1.27; 95% confidence interval, 1.08-1,10; P = .004), systolic blood pressure, diabetes mellitus, obesity, chronic kidney disease, coronary heart disease, and atrial fibrillation (P < .001). More than 50% of patients > 80 years with resistant hypertension had cardiovascular disease. One in 4 patients with resistant hypertension is > 80 years. Resistant hypertension is associated with cardiovascular disease, age < 50 years in men and age > 80 years in women. There is a high proportion of cardiovascular disease in elderly patients with resistant hypertension. Full English text available from: www.revespcardiol.org/en" @default.
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• W1991662703 date "2014-04-01" @default.
• W1991662703 modified "2023-10-01" @default.
• W1991662703 title "Demografía y características clínicas de la hipertensión resistente en 6.292 pacientes en atención primaria" @default.
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• W1991662703 doi "https://doi.org/10.1016/j.recesp.2013.09.029" @default.
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