Primary care of patients with high cardiovascular risk: Blood pressure, lipid and diabetic target levels and their achievement in Hungary

Endre Szigethy, Zoltán Jancsó, Csaba Móczár, István Ilyés, E. Kovács, László Róbert Kolozsvári, Imre Rurik

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Summary: Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field. The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women). Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values. The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication. A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.

Original languageEnglish
Pages (from-to)371-380
Number of pages10
JournalWiener Klinische Wochenschrift
Volume125
Issue number13-14
DOIs
Publication statusPublished - Jul 2013

Fingerprint

Hungary
Primary Health Care
Blood Pressure
Lipids
Dyslipidemias
Hypertension
Secondary Prevention
HDL Cholesterol
Triglycerides
Drug Prescriptions
Premature Mortality
Glycosylated Hemoglobin A
Primary Care Physicians
Primary Prevention
General Practitioners
Antihypertensive Agents
Fasting
Cardiovascular Diseases
Cholesterol

Keywords

  • Cardiovascular prevention
  • Diabetes
  • Dyslipidaemia
  • EUROASPIRE
  • High-risk patients
  • Hungary
  • Hypertension
  • Primary care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Primary care of patients with high cardiovascular risk : Blood pressure, lipid and diabetic target levels and their achievement in Hungary. / Szigethy, Endre; Jancsó, Zoltán; Móczár, Csaba; Ilyés, István; Kovács, E.; Róbert Kolozsvári, László; Rurik, Imre.

In: Wiener Klinische Wochenschrift, Vol. 125, No. 13-14, 07.2013, p. 371-380.

Research output: Contribution to journalArticle

Szigethy, Endre ; Jancsó, Zoltán ; Móczár, Csaba ; Ilyés, István ; Kovács, E. ; Róbert Kolozsvári, László ; Rurik, Imre. / Primary care of patients with high cardiovascular risk : Blood pressure, lipid and diabetic target levels and their achievement in Hungary. In: Wiener Klinische Wochenschrift. 2013 ; Vol. 125, No. 13-14. pp. 371-380.
@article{511f7d8f27c54b848678298ae904ae90,
title = "Primary care of patients with high cardiovascular risk: Blood pressure, lipid and diabetic target levels and their achievement in Hungary",
abstract = "Summary: Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field. The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women). Among diabetics, less than 7 {\%} of glycated hemoglobin (HbA1c) values were found in 42.5 {\%} patients, while only 11.4 {\%} patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 {\%}, recommended total cholesterol by 14.2 {\%} and the HDL-cholesterol by 71.8 {\%}. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values. The achievement among patients with hypertension was 42.0 {\%}. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication. A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.",
keywords = "Cardiovascular prevention, Diabetes, Dyslipidaemia, EUROASPIRE, High-risk patients, Hungary, Hypertension, Primary care",
author = "Endre Szigethy and Zolt{\'a}n Jancs{\'o} and Csaba M{\'o}cz{\'a}r and Istv{\'a}n Ily{\'e}s and E. Kov{\'a}cs and {R{\'o}bert Kolozsv{\'a}ri}, L{\'a}szl{\'o} and Imre Rurik",
year = "2013",
month = "7",
doi = "10.1007/s00508-013-0379-2",
language = "English",
volume = "125",
pages = "371--380",
journal = "Wiener Klinische Wochenschrift",
issn = "0043-5325",
publisher = "Springer Wien",
number = "13-14",

}

TY - JOUR

T1 - Primary care of patients with high cardiovascular risk

T2 - Blood pressure, lipid and diabetic target levels and their achievement in Hungary

AU - Szigethy, Endre

AU - Jancsó, Zoltán

AU - Móczár, Csaba

AU - Ilyés, István

AU - Kovács, E.

AU - Róbert Kolozsvári, László

AU - Rurik, Imre

PY - 2013/7

Y1 - 2013/7

N2 - Summary: Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field. The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women). Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values. The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication. A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.

AB - Summary: Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field. The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women). Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values. The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication. A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.

KW - Cardiovascular prevention

KW - Diabetes

KW - Dyslipidaemia

KW - EUROASPIRE

KW - High-risk patients

KW - Hungary

KW - Hypertension

KW - Primary care

UR - http://www.scopus.com/inward/record.url?scp=84880918100&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880918100&partnerID=8YFLogxK

U2 - 10.1007/s00508-013-0379-2

DO - 10.1007/s00508-013-0379-2

M3 - Article

C2 - 23824265

AN - SCOPUS:84880918100

VL - 125

SP - 371

EP - 380

JO - Wiener Klinische Wochenschrift

JF - Wiener Klinische Wochenschrift

SN - 0043-5325

IS - 13-14

ER -