La inercia clínica profesional y el incumplimiento farmacológico: ¿cómo influyen en el control de la hipertensión arterial? Estudio CUMAMPA

Therapeutic inertia in hypercholesterolaemia is associated with ischaemic events in primary care patients. A case-control study

“…It is not surprising that uncontrolled hypertension and family history of early onset cardiovascular 'disease are associated with the development of events. A combination of patient non-compliance and TI (which is not the subject of our study) could be the cause of uncontrolled hypertension, as other studies have shown (10,11,21). Similarly, it is a well-known fact that a family history of early onset cardiovascular disease increases individual risk of an ischaemic event (22,23); the most recent European guidelines acknowledge that a family history of early onset cardiovascular disease multiplies the SCORE table risk by 1.7 in women and 2.0 in men (24).…”

“…The differences between these two secondary prevention studies most probably reveal widespread ignorance of the benefits of hypercholesterolaemia management in peripheral artery disease and stroke, resulting in under‐treatment of the condition . Reported TI is lower in hypertension, with figures of 37% , 40% and 60% .…”

“…The multiple causes of TI include overestimation of the extent to which CPG are being followed, a false impression of good management, the feeling that the patient is non-compliant, and lack of training and organisation on the part of the doctor (8,9). There is abundant evidence to suggest a high prevalence of TI that leads to a low rate of patients at therapeutic target (10)(11)(12)(13)(14)(15)(16). It has even been estimated that up to 80% of ischaemic events are related to TI in diabetes, hypertension and hypercholesterolaemia (17).…”