Patients with hypertension who have a heart attack for the first time experience fewer in-hospital complications, compared with individuals without high blood pressure. For the study, the researchers looked at in-hospital results in 915 patients with hypertension and 915 patients without the condition following their first heart attack. The researchers learned that the high blood pressure group had greater risk factors including diabetes, poor lipid profiles, and chronic obstructive pulmonary disease. This group, however, had considerably lower rates of heart complications and death, compared with the control group.
"To the best of our knowledge, the current report is the first to indicate such a clear-cut significant difference in outcome of first-time [heart attack] in hypertensive and normotensive subjects," concluded the researchers recently in the American Journal of Hypertension. They said that additional studies are needed to more clearly understand the reasons for these differences.