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dc.contributor.authorPetersen, Jakob
dc.contributor.authorMalyutina, Sofia
dc.contributor.authorRyabikov, Andrey
dc.contributor.authorKontsevaya, Anna
dc.contributor.authorKudryavtsev, Alexander V
dc.contributor.authorEggen, Anne Elise
dc.contributor.authorMcKee, Martin
dc.contributor.authorCook, Sarah Anne
dc.contributor.authorHopstock, Laila Arnesdatter
dc.contributor.authorSchirmer, Henrik
dc.contributor.authorLeon, David Adrew
dc.date.accessioned2020-06-11T11:58:54Z
dc.date.available2020-06-11T11:58:54Z
dc.date.issued2020-03-13
dc.description.abstract<i>Background</i> - Uncontrolled hypertension is a major cardiovascular risk factor. We examined uncontrolled hypertension and differences in treatment regimens between a high-risk country, Russia, and low-risk Norway to gain better understanding of the underlying factors.<p><p> <i>Methods</i> - Population-based survey data on 40–69 year olds with hypertension defined as taking antihypertensives and/or having high blood pressure (140+/90+ mmHg) were obtained from Know Your Heart Study (KYH, <i>N</i> = 2284), Russian Federation (2015–2018) and seventh wave of The Tromsø Study (Tromsø 7, <i>N</i> = 5939), Norway (2015–2016). Uncontrolled hypertension was studied in the subset taking antihypertensives (KYH: <i>N</i> = 1584; Tromsø 7: 2792)and defined as having high blood pressure (140+/90+ mmHg). Apparent treatment resistant hypertension (aTRH) was defined as individuals with uncontrolled hypertension on 3+ OR controlled on 4+ antihypertensive classes in the same subset.<p><p> <i>Results</i> - Among all those with hypertension regardless of treatment status, control of blood pressure was achieved in 22% of men (KYH and Tromsø 7), while among women it was 33% in Tromsø 7 and 43% in KYH. When the analysis was limited to those on treatment for hypertension, the percentage uncontrolled was higher in KYH (47.8%, CI 95 44.6–50.9%) than Tromsø 7 (38.2, 36.1–40.5%). The corresponding figures for aTRH were 9.8% (8.2–11.7%) and 5.7% (4.8–6.8%).<p><p> Antihypertensive monotherapies were more common than combinations and used by 58% in Tromsø 7 and 44% in KYH. In both KYH and Tromsø 7, untreated hypertension was higher in men, those with no GP visit in the past year and problem drinkers. In both studies, aTRH was associated with older age, CVD history, obesity, and diabetes. In Tromsø 7, also male gender and any drinking. In KYH, also chronic kidney disease.<p><p> <i>Conclusion</i> - There is considerable scope for promoting combination therapies in line with European treatment guidelines in both study populations. The factors associated with untreated hypertension overlap with known correlates of treatment non-adherence and health check non-attendance. In contrast, aTRH was characterised by obesity and underlying comorbidities potentially complicating treatment.en_US
dc.identifier.citationPetersen, Malyutina S, Ryabikov A, Kontsevaya A, Kudryavtsev AV, Eggen AE, McKee M, Cook SA, Hopstock LA, Schirmer H, Leon DA. Uncontrolled and apparent treatment-resistant hypertension: a cross-sectional study of Russian and Norwegian 40–69 year olds. BMC Cardiovascular Disorders. 2020;20:135:1-11en_US
dc.identifier.cristinIDFRIDAID 1808962
dc.identifier.doi10.1186/s12872-020-01407-2
dc.identifier.issn1471-2261
dc.identifier.urihttps://hdl.handle.net/10037/18525
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Cardiovascular Disorders
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleUncontrolled and apparent treatment-resistant hypertension: a cross-sectional study of Russian and Norwegian 40–69 year oldsen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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