Effectiveness of an Interventional Program to Improve Blood Pressure Control in Hypertensive Patients at High Risk for Developing Heart Failure: HEROIC Study

被引:17
作者
De Rivas, Beatriz [1 ]
Barrios, Vivencio [2 ]
Redon, Josep [3 ]
Calderon, Alberto [4 ]
机构
[1] AstraZeneca, Dept Med, Madrid, Spain
[2] Hosp Ramon & Cajal, Dept Cardiol, E-28034 Madrid, Spain
[3] Univ Valencia, Hosp Clin, Hipertens Unit, Valencia, Spain
[4] Primary Care Ctr Rosa de Luxemburgo, Madrid, Spain
关键词
LEFT-VENTRICULAR HYPERTROPHY; PRIMARY-HEALTH-CARE; QUALITY-OF-LIFE; POPULATION; MICROALBUMINURIA; STRATIFICATION; EPIDEMIOLOGY; PREVALENCE; PROFILE; DISEASE;
D O I
10.1111/j.1751-7176.2010.00271.x
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The Efectividad de un Programa de Intervencion en el Control de la Presion Arterial de los Hipertensos en Riesgo de Desarrollar Insuficiencia Cardiaca (HEROIC) study was designed to assess whether an educational program for primary care physicians could improve blood pressure (BP) control in hypertensive patients at high risk for developing heart failure. The program contained a combination of educational training (live group sessions or online training) and information feedback. Two hundred twenty-six physicians completed the program and provided valid data in 2489 patients before and 2168 after 1 year. There was a small but significant reduction of -1.1 mm Hg (P=.009) in systolic BP and a higher proportion of patients achieved their BP target (13.6% vs 15.6%, P=.055). Thus, the authors concluded that there was a slight improvement in BP control after the educational program, but this change was not sufficient to avoid development of heart failure. More complex and intensive programs are needed for this type of prevention.
引用
收藏
页码:335 / 344
页数:10
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