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Big Data and Blood Pressure Control: Insights from the PAMELA and BP-CARE Study Cohorts

  • Blood Pressure Monitoring and Management (J Cockcroft, Section Editor)
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Abstract

Purpose of Review

The paper examines the patterns of BP control achieved in two large scale observational studies, i.e., the Pressioni Arteriose Monitorate E Loro Associazioni (PAMELA) study and the Blood Pressure control rate and CArdiovascular Risk profilE (BP-CARE), carried out in the general population and in treated hypertensive patients, respectively.

Recent Findings

It is well known that only a minor fraction among the treated hypertensive patients exhibits a good blood pressure control. However, few study investigated blood pressure control on the basis not only of office, but also home and ambulatory blood pressure measurement, examining its impact on organ damage.

Summary

In the whole sample of the PAMELA study, only in about 21.1% of cases treated hypertensive subjects exhibit a well-controlled office BP. Control of systolic blood pressure was rarer than the diastolic one. Control of home and, even more, ambulatory blood pressure was more frequent. Left ventricular mass was not normalized even when blood pressure was adequately controlled. Most subjects of BP-CARE study show high or very high cardiovascular risk, due to concomitant risk factors and organ damage. The percentage of well-treated hypertensive patients is lower when CV risk is higher.

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Authors and Affiliations

  1. Department of Medicine and Surgery, University of Milano-Bicocca, Via Pergolesi 33, 20052, Monza (Milan), Italy

    M. Bombelli, Rita Facchetti, Giuseppe Mancia & Guido Grassi

  2. Clinica Medica, Ospedale San Gerardo dei Tintori, Monza (Milan), Italy

    M. Bombelli

  3. Istituto di Ricerche a Carattere Scientifico Multimedica, Sesto San Giovanni, Milan, Italy

    Guido Grassi

Authors
  1. M. Bombelli
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  2. Rita Facchetti
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  3. Giuseppe Mancia
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  4. Guido Grassi
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Corresponding author

Correspondence to Guido Grassi.

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Conflict of Interest

Dr. Mancia reports personal fees from Boehringer Ingelheim, Daiichi Sankyo, Ferrer, Medtronic, Menarini, Merck, Novartis, RecordatI, and Servier outside the submitted work. The other authors declare no conflicts of interest relevant to this manuscript.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Blood Pressure Monitoring and Management

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Bombelli, M., Facchetti, R., Mancia, G. et al. Big Data and Blood Pressure Control: Insights from the PAMELA and BP-CARE Study Cohorts. Curr Hypertens Rep 20, 82 (2018). https://doi.org/10.1007/s11906-018-0885-8

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  • DOI: https://doi.org/10.1007/s11906-018-0885-8

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