Sex differences in the hypertensive population with chronic ischemic heart disease

J Clin Hypertens (Greenwich). 2008 Oct;10(10):779-86. doi: 10.1111/j.1751-7176.2008.00020.x.

Abstract

Cardiopatía Isquémica Crónica e Hipertensión Arterial en la Práctica Clínica en España (CINHTIA) was a survey designed to assess the clinical management of hypertensive outpatients with chronic ischemic heart disease. Sex differences were examined. Blood pressures (BP) was considered controlled at levels of <140/90 or <130/80 mm Hg in diabetics (European Society of Hypertension/European Society of Cardiology 2003); low-density lipoprotein cholesterol (LDL-C) was considered controlled at levels <100 mg/dL (National Cholesterol Education Program Adult Treatment Panel III). In total, 2024 patients were included in the study. Women were older, with a higher body mass index and an increased prevalence of atrial fibrillation. Dyslipidemia, smoking, sedentary lifestyle, and peripheral arterial disease were more frequent in men. In contrast, diabetes, left ventricular hypertrophy, and heart failure were more common in women. BP and LDL-C control rates, although poor in both groups, were better in men (44.9% vs 30.5%, P<.001 and 33.0% vs 25.0%, P<.001, respectively). Stress testing and coronary angiography were more frequently performed in men.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anticholesteremic Agents / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Body Mass Index
  • Cardiovascular Diseases / drug therapy
  • Cardiovascular Diseases / epidemiology*
  • Cholesterol / blood
  • Cholesterol / therapeutic use
  • Chronic Disease
  • Cross-Sectional Studies
  • Female
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology*
  • Logistic Models
  • Male
  • Middle Aged
  • Myocardial Ischemia / drug therapy
  • Myocardial Ischemia / epidemiology*
  • Prevalence
  • Risk Factors
  • Sex Characteristics*
  • Spain / epidemiology

Substances

  • Anticholesteremic Agents
  • Antihypertensive Agents
  • Cholesterol