Antithrombotic treatment in hypertensive patients with chronic atrial fibrillation. CARDIOTENS 99 study

Medicina clínica
Vicente Bertomeu MartínezJosé Angel Rodríguez Ortega

Abstract

Our main goals were to know the actual degree of oral anticoagulation and antiaggregation in hypertensive patients with atrial fibrillation in the daily clinical practice in Spain and to analyze any differences between primary care physicians and cardiologists. 32,051 outpatients attended the same day by 1,159 physicians (21% cardiologists) were prospectively included in a database taking into account a history of hypertension and atrial fibrillation, demographic data and ongoing treatments. Hypertension was detected in 10,555 patients and 999 of them had both hypertension and atrial fibrillation (9.46%: 435 males [44%] and 564 females [56%]). 53% patients were attended by primary care physicians and the rest by cardiologists. 33% of hypertensive patients with atrial fibrillation were on oral anticoagulation: 41% of them attended by cardiologists and 26% by primary care physicians (p < 0.05). These differences persisted when the patients were compared on the basis of their age. 39% of hypertensive patients were on oral antiaggregation treatment, without differences in both groups except for those aged less than 65 years who were found to receive more antiaggregation in primary care (36% vs 24%; p < 0.05). The prevalence of atri...Continue Reading

Citations

Dec 23, 2006·Journal of Thrombosis and Thrombolysis·Luciana S FornariBruno Caramelli
Jun 4, 2011·Expert Opinion on Pharmacotherapy·Vicente Bertomeu-GonzálezUNKNOWN investigators of the CARDIOTENS2 study

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