Barrios Vivencio, Escobar Carlos, Bertomeu Vicente, Murga Nekane, de Pablo Carmen, Calderón Alberto
Department of Cardiology, Hospital Ramón y Cajal, Madrid, Spain.
J Clin Hypertens (Greenwich). 2008 Oct;10(10):779-86. doi: 10.1111/j.1751-7176.2008.00020.x.
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.
西班牙临床实践中的慢性缺血性心脏病和动脉高血压（CINHTIA）是一项旨在评估慢性缺血性心脏病高血压门诊患者临床管理情况的调查。研究了性别差异。血压（BP）在<140/90或糖尿病患者中<130/80 mmHg时被认为得到控制（欧洲高血压学会/欧洲心脏病学会，2003年）；低密度脂蛋白胆固醇（LDL-C）在<100 mg/dL时被认为得到控制（美国国家胆固醇教育计划成人治疗小组第三次报告）。该研究共纳入2024例患者。女性年龄较大，体重指数较高，房颤患病率增加。男性血脂异常、吸烟、久坐不动的生活方式和外周动脉疾病更为常见。相比之下，糖尿病、左心室肥厚和心力衰竭在女性中更为常见。血压和低密度脂蛋白胆固醇控制率虽然两组都较差，但男性更好（分别为44.9%对30.5%，P<0.001和33.0%对25.0%，P<0.001）。男性更频繁地进行压力测试和冠状动脉造影。
