P6368Blood pressure control in a registry of clinical practice, PINNACLE-BRAZIL REGISTRY

Abstract

Introduction The prevalence of hypertension is estimated to be nearly 50% among Brazilian adults. Achieving an adequate control of this CVD risk factor is challenging but truly relevant on a public health perspective, as this is the top-ranking cause of all deaths globally. Purpose We aimed to describe crude and simple metrics of blood pressure management (including its control), as based on current guideline-derived recommendations, after one year of the clinical practice registry Methods Patients with documented Hypertension were included by using electronic case report form based on the ACC PINNACLE Registry. The registry has been enrolling patients from general practitioners and specialists. The main goal of the PINNACLE program is to improve the quality of care in “real world” clinical practice. Patients data were evaluated after 01 year of follow-up on regular clinical appointments and the differences on clinical practice were evaluated Results Currently, PINNACLE-Brazil has enrolled 7598 patients, with 87% of diagnosed hypertension. Percentage of patients with a diagnosis of hypertension who had a blood pressure measurement <140/90 mmHg was 47.9% (baseline) and 57.3% (follow-up). Percentage of patients who had a blood pressure <140/90 mm Hg, or who had a blood pressure ≥140/90 mm Hg and were prescribed ≥2 antihypertensive medications were 67.1% on baseline and 71.2% after 1 year. Conclusion The preliminary data of PINNACLE Registry in Brazil shows that a significant proportion of hypertensive patients (nearly half) have not presented with adequate control of blood pressure levels and, moreover, a large proportion have not been treated with recommended combination of 02 or more antihypertensive medications to reach targeted BP levels the quality of care was improving after 01 year of registry. Acknowledgement/Funding ACC Foundation

A Importância Do Controle Pressórico E Alcance De Metas Pressóricas Intensivas Em Pacientes Diabéticos E Em Pacientes Com Acidente Vascular Cerebral: Os Estudos Optimal-Diabetes E Optimal-Stroke

“…1 No Brasil, estudos nacionais, como a Pesquisa Nacional de Saúde 2013, o 1º Registro Brasileiro de Hipertensão, o Registro PINNACLE-Brazil e o estudo ELSA-Brasil, reportam taxas maiores de controle da PA, que variam entre 33% a 53,6%. [2][3][4][5] A melhora do controle pressórico é essencial para a redução de eventos cardiovasculares maiores, pois a elevação sustentada da PA sistólica (PAS) e da PA diastólica (PAD) constitui o principal fator de risco independente e modificável para doenças cardiovasculares (DCV) e mortalidade total, tendo sido responsável por 10,8 milhões de mortes por causas cardiovasculares em todo o mundo em 2021, especialmente mortes por doença coronariana e acidente vascular cerebral (AVC). 6 Aumentos progressivos e sustentados da PAS e da PAD estão relacionados a incidência e mortalidade por doença coronariana.…”