Population | Treatment | Blood pressure control mmHg | 10-year CVD riska | Treated in accordance with guidelines? | Why? |
---|---|---|---|---|---|
Primary prevention | On statin | >140/90 | >20% risk | No | Should be on an antihypertensive |
<20% risk | No | Should be on an antihypertensive | |||
Risk not recorded | No | Should be on an antihypertensive | |||
<140/90 | >20% risk | Yes | BP below threshold for treatment and on a statin for high risk | ||
<20% risk | Yes | BP below threshold for treatment and on a statin (assumed have been at high risk previously) | |||
Risk not recorded | Yes | BP below threshold for treatment and on a statin (assumed have been at high risk previously) | |||
On antihypertensive | >140/90 | >20% risk | No | Should be on a statin and an additional antihypertensive | |
<20% risk | No | Should be on an additional antihypertensive | |||
Risk not recorded | No | Should be on an additional antihypertensive and assessed for risk | |||
<140/90 | >20% risk | No | Should be on a statin | ||
<20% risk | Not clear | Low risk could be due to the use of treated BP in risk calculation | |||
Risk not recorded | Not clear | Should have risk assessed | |||
On both statin and antihypertensive | >140/90 | >20% risk | No | Should be on an additional antihypertensive | |
<20% risk | No | Should be on an additional antihypertensive | |||
Risk not recorded | No | Should be on an additional antihypertensive | |||
<140/90 | >20% risk | Yes | BP controlled and on a statin for high risk | ||
<20% risk | Yes | BP controlled and on a statin (must have been at high risk previously) | |||
Risk not recorded | Yes | BP controlled and on a statin (must have been at high risk previously) | |||
Neither statin nor antihypertensive | >140/90 | >20% risk | No | Should be on a statin and an antihypertensive | |
>160/100 | <20% risk | No | Should be on an antihypertensive | ||
<140/90 | >20% risk | No | Should be on a statin | ||
<160/100 | <20% risk | Yes | BP below threshold for treatment and low risk so statin not indicated | ||
Secondary prevention | On statin | >140/90 | >20% risk | No | Should be on an antihypertensive |
<140/90 | >20% risk | Yes | BP controlled and on a statin for high risk | ||
On antihypertensive | >140/90 | >20% risk | No | Should be on a statin and additional antihypertensive | |
<140/90 | >20% risk | No | Should be on a statin | ||
On both statin and antihypertensive | >140/90 | >20% risk | No | Should be on an additional antihypertensive | |
<140/90 | >20% risk | Yes | BP controlled and on a statin for high risk | ||
Neither statin nor antihypertensive | >140/90 | >20% risk | No | Should be on a statin and an antihypertensive | |
<140/90 | >20% risk | No | Should be on a statin |
BP = blood pressure.
↵a Risk defined as a 10-year Framingham risk score (high risk >20%),21 as calculated by the authors from available risk factor information in patient medical records.