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  • 1.
    Sverre, Elise
    et al.
    Vestre Viken Trust, Norway;Univ Oslo, Norway.
    Peersen, Kari
    Vestfold Hosp Trust, Norway.
    Otterstad, Jan Erik
    Vestfold Hosp Trust, Norway.
    Gullestad, Lars
    Univ Oslo, Norway.
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gjertsen, Erik
    Vestre Viken Trust, Norway.
    Mourn, Torbjorn
    Univ Oslo, Norway.
    Husebye, Einar
    Vestre Viken Trust,Norway.
    Dammen, Toril
    Univ Oslo, Norway.
    Munkhaugen, John
    Vestre Viken Trust, Norway.
    Optimal blood pressure control after coronary events: the challenge remains2017In: Journal of the American Society of Hypertension : JASH, ISSN 1933-1711, E-ISSN 1878-7436, Vol. 11, no 12, p. 823-830Article in journal (Refereed)
    Abstract [en]

    We identified sociodemographic, medical, and psychosocial factors associated with unfavorable blood pressure (BP) control in 1012 patients, hospitalized with myocardial infarction and/or a coronary revascularization procedure. This cross-sectional study collected data from hospital records, a comprehensive self-report questionnaire, clinical examination, and blood samples after 2-36 (mean 17) months follow-up. Forty-six percent had unfavorable BP control (>= 140/90 [80 in diabetics] mm Hg) at follow-up. Low socioeconomic status and psychosocial factors did not predict unfavorable BP control. Patients with unfavorable BP used on average 1.9 (standard deviation 1.1) BP-lowering drugs at hospital discharge, and the proportion of patients treated with angiotensin inhibitors and beta-blockers decreased significantly (P < .001) from discharge to follow-up. Diabetes (odds ratio [OR] 2.4), higher body mass index (OR 1.05 per 1.0 kg/m(2)), and older age (OR 1.04 per year) were significantly associated with unfavorable BP control in adjusted analyses. Only age (standardized beta [beta] 0.24) and body mass index (beta 0.07) were associated with systolic BP in linear analyses. We conclude that BP control was insufficient after coronary events and associated with obesity and diabetes. Prescription of BP-lowering drugs in hypertensive patients seems suboptimal. Overweight and intensified drug treatment thus emerge as the major factors to target to improve BP control. (C) 2017 American Society of Hypertension. All rights reserved.

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