BackgroundHypertension is a public health problem, considering its high prevalence, low
control rate and cardiovascular complications.ObjectiveEvaluate the control of blood pressure (BP) and cardiovascular outcomes in
patients enrolled at the Reference Center for Hypertension and Diabetes, located
in a medium-sized city in the Midwest Region of Brazil.MethodsPopulation-based study comparing patients enrolled in the service at the time of
their admission and after an average follow-up of five years. Participants were
aged ≥18 years and were regularly monitored at the Center up to 6 months
before data collection. We assessed demographic variables, BP, body mass index,
risk factors, and cardiovascular outcomes.ResultsWe studied 1,298 individuals, predominantly women (60.9%), and with mean age of
56.7±13.1 years. Over time, there was a significant increase in physical
inactivity, alcohol consumption, diabetes, dyslipidemia, and excessive weight. As
for cardiovascular outcomes, we observed an increase in stroke and myocardial
revascularization, and a lower frequency of chronic renal failure. During
follow-up, there was significant improvement in the rate of BP control (from 29.6%
to 39.6%; p = 0.001) and 72 deaths, 91.7% of which were due to cardiovascular
diseases.ConclusionDespite considerable improvements in the rate of BP control during follow-up, risk
factors worsened and cardiovascular outcomes increased.