About this Journal Submit a Manuscript Table of Contents
International Journal of Hypertension
Volume 2012 (2012), Article ID 835812, 7 pages
http://dx.doi.org/10.1155/2012/835812
Research Article

Blood Pressure and Global Risk Assessment in a Swedish Population

1Department of Primary Health Care, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Arvid Wallgrens Backe 4, Hus 7, P.O. Box 454, 405 30 Gothenburg, Sweden
2Department of Clinical Sciences/Community Medicine, Lund University, Clinical Research Centre, SUS Malmö, 205 02 Malmö, Sweden

Received 5 June 2012; Revised 27 July 2012; Accepted 27 July 2012

Academic Editor: Claudio Borghi

Copyright © 2012 Jenny Eckner et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This study investigated the association between SCORE and the 2007 ESH-ESC blood pressure categories and explored achievements of blood pressure goals considering global risk. In 2001–2005, a random sample of inhabitants aged 30–74 years in southwestern Sweden was invited to a survey of cardiovascular risk factors. The study enrolled 2816 participants (participation rate 76%). Blood pressure was categorized according to the 2007 ESH-ESC guidelines. Global risk of 10-year CVD death was estimated using the Swedish SCORE chart also accounting for additional risk from diabetes (SCORE-DM). SCORE-DM increased in both sexes from optimal blood pressure to manifest hypertension but did not differ between the normal blood pressure categories. However, SCORE-DM became significantly higher among those with temporarily high blood pressure (men 3.3 SD (1.7), women 1.1 (1.8)) and hypertension (3.6 (2.0), 2.0 (2.0)), compared to optimal blood pressure (1.6 (2.9), 0.6 (1.9)). In the presence of both hypertension and diabetes, high-risk subjects dominated (men 76%, women 61%), and correspondingly a major proportion of patients with known hypertension were at high risk at a blood pressure 1 6 0 / 1 0 0  mm Hg. These findings have strong implications on blood pressure evaluation in clinical practice and support the use of SCORE to evaluate global risk.