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A developed country case: Italy Analysis of the largest, representative and updated sample of hypertensive patients in Italy From the most recent observational studies available over the last 5 years ( ) – hypertensive patients – Mean age 56.6 years, 60% women, BMI 27.2 – Mostly in general practice Tocci G et al. J Hypertens. 2012;30:
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Blood pressure control: Where do we stand?
Latest data from Italy
Tocci G et al. J Hypertens. 2012;30:1065-1074.
Hypertension still the biggest issue
• 1.56 billion hypertensive patients in the world in 20251
• 20 million new cases of hypertension per year1
• High blood pressure is the first cause of death and burden around the world2
1. Kearney et al. Lancet. 2005; 365:217-223.2. Ezzati et al. N Engl J Med. 2013;369:954-964.
A developed country case: Italy
• Analysis of the largest, representative and updated sample of hypertensive patients in Italy
• From the most recent observational studies available over the last 5 years (2005-2011)– 158 876 hypertensive patients– Mean age 56.6 years, 60% women, BMI 27.2– Mostly in general practice
Tocci G et al. J Hypertens. 2012;30:1065-1074.
Only 57% of the hypertensive population is treated
Tocci G et al. J Hypertens. 2012;30:1065-1074.
37% of the treated hypertensive population have controlled blood pressure
Tocci G et al. J Hypertens. 2012;30:1065-1074.
Evolution of hypertension management between 1999 and 2011
In 1999 In 2011
19% treated and controlled patients
37%treated and controlled patients
GPs 154.1/90.9 mm Hg 143.5/84.8 mm Hg
Specialists 147.2/89.6 mm Hg 146.5/88.5 mm Hg
SBP/DBP SBP/DBP
Tocci G. et al. J Hypertens. 2012;30:1065-1074.
More than 70% of the hypertensive population have grade 1 hypertension
Tocci G et al. J Hypertens. 2012;30:1065-1074.
Blood pressure stratification among the studied population (treated or untreated)
The French example: the majority of untreated patients have grade 1 hypertension
Lang T et al. Hypertension. 2001;38:449-454.
Blood pressure stratification in untreated hypertensive people in a working population, in France.
Conclusion• Despite hypertension management improvement since 1999,1
hypertension is the 1st risk factor for cardiovascular disease.2
• 1 out 3 deaths is due to cardiovascular disease (2007).3
• The Italian case shows an inadequate control of blood pressure in a developed country. 1
• Only 37% of treated patients are controlled.1
• International guidelines advise controlling blood pressure below 140/90 mm Hg.4
• Most uncontrolled treated patients have grade 1 hypertension.5
• Each increase of 20/10 mm Hg (SBP/DBP) doubles the risk of cardiovascular death.6
1. Tocci G et al. J Hypertens. 2012;30:1065-1074.2. Hobbs, Richard FD. Vasc Health Risk Manag. 2007;3:711-719.3. Roger VL et al. Circulation. 2011;123:e18-e209. 4. Mancia G et al. Eur Heart J. 2013;34:2159-2219.5. Lang T et al. Hypertension. 2001;38:449-454. 6. Lewington S et al; Prospective Studies Collaboration. Lancet. 2002;360:1903-1913.
