P1.44 Early Detection of Atherosclerotic Disease in Mild Hypertensive Patients: A Strong Reason to Reevaluate Cardiovascular Risk

Abstract

Aim

To analyze the incidence and severity of subclinical vascular disease (VD) using ultrasonography in patients (p.) with essential hypertension (HT).

Methods

We did in the same procedure 1) CIMT 2) Plaques characterization, 3) PWV and 4) FMD with a strict quality control. We set a score (VS) from 0 to 5 according to the severity of the VD. The CV Risk using Framingham score (FS) was also obtained from medical records.

Results

We did a cross sectional, observational study on 604 p. (479 with stage I-II HT (ESH 07) 53,2 + 13 y.o., 63% males and 125 normotensive NT controls 51,7 + 14 y.o. p.003, 62% males p NS)

Table 1

Conclusions

1- Subclinical vascular disease is more frequent and severe in HT patients.2- Indicators of subclinical vascular disease in this subset of p. allow a more precise diagnosis of subclinical vascular. (ESC/ESH guidelines 2007)3-Vascular score of severity is higher in HT p. than in NT.