P-115 The Hypertensive Patient With Atrial Fibrillation. Dangers And Control Factors From A Primary Care View

Alsina M. (Barcelona), Besa M. (Barcelona), Font A. (Barcelona), De la Poza M. (Barcelona), Iglesias C. (Barcelona), Vila M. (Barcelona), Oller M. (Barcelona), Jimenez S. (Barcelona), Iglesias C. (Barcelona)
Aim and purpose: Atrial fibrillation (AF) is the most common arrhythmia in the elderly and is, often, associated with hypertension. The objective of this study was to assess the main factors that had influence in achieving good control of blood pressure values in this subset of population and to evidence possible risk factors for the appearance of one of its most dreadful complications: cerebral vascular disease.
Design and Methods: Descriptive study (December 07-December 08) in an urban primary care centre. Subjects = 315 patients with AF (1.79% of our population), we analysed a subset of 194 patients that also presented hypertension (61.5%). An univariate analysis was performed using contingency tables for binary variables and analysis of variance for continuous ones in order to detect clinical variables related with hypertension control and possible risk factors, among this population, that could act as “clinical warnings” of cerebral vascular disease appearance.
Results: The mean age of our patients was 75.9 (±8.32); women (60.8%). Adequate control of tensional values was achieved in 60.8% of patients and 17% of patients presented cerebral vascular disease. The following variables were found to be independent related to cerebral vascular disease appearance: diabetes mellitus (DM) (p0.045, OR 1.59) and structural cardiopathy (p 0,031, OR 1.29). Control of tensional values was only statically related to diabetes mellitus concomitance (p Conclusion: In this subset of population (hypertensive with AF) general practitioners should be aware to those that also present DM and/or structural cardiopathy. Data shows that DM is related to increased blood pressure control failure rate. We have also validated that DM and structural cardiopathy have a strong relation with cerebral vascular disease. Finally we would like to reassert that any effort is not enough regarding prevention and control of possible complications in this complex subset of population.
The hypertensive patient with atrial fibrillation. Dangers and control factors from a primary care view