Efficacy of hypertension treatment in a specialized service. Audit using automatic blood pressure control

The ineluctable fade out of mercury sphingomanometer pressure device involv e the necessity in using automatic blood pressure systems. In parallel the recent PHARE II study witness of a lack in the control of hypertension in g eneral practice. In the basis of an automatic blood pressure device mesure, we had try to know the efficiency of blood pressure control (BPC) in a spe cialised consultation. Method: 100 patients with essential systolo-diastolic hypertension (HTA) we re screened. An independant physician measured the blood pressure level with an OMRON 70 5 CP device 3 times. The acceptable BPC was considered less than 160/95 mmHg and the optimal BPC less than 140/90 mmHg. There was 70 man, 30 female (mean age=67 year old). The initial mean blood pressure was 169/104 mmHg. Results: The final blood pressure measured was 137/80 mmHg, The percentage of patients who have an acceptable control (<160/95) was 91% and an optimal control (<140/90) 66%. 12% of these 66 maintain a hight cardio-vascular risk. The mean number of m edication used was 2 and it's paradoxally not differ beetween the optimal b lood pressure control group and the other patients who need probabelly an i ntensive medication. In conclusion these study shows us the importance in understanding our pati ents particularity in order to increase the treatment efficiency.