Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. e246 Journal of Hypertension Vol 36, e-Supplement 1, June 2018 a signiﬁcantly higher average number of risk factors (3,56 ± 0,76 vs 2,42 ± 0,96, p < 0,0001) but no signiﬁcant differences in age, body mass index and waist cir- cumference. Abnormal OGTT was found in 55 (40 %) of patients from the ﬁrst group: 26 (19 %) had diabetes, 29 (21 %) impaired glucose tolerance. There was no signiﬁcant difference in mean creatinine and CrCl (I gr. 84,12 ± 29,97 vs II gr.79,87 ± 27,23) between the two groups. Decline in CrCl (< 89 ml/min) was found in 42% patients I gr. vs 50 % in II gr., < 60 ml/min in 24,5:26 %, n.s. Ab- normal ACR was found in 41 (30 %) of patients I gr. vs 18 (33%) in II gr., n.s. Conclusions: Conclusion: Quarter of patients with arterial hypertension and diabetes had early renal impairment with a decrease in glomerular ﬁltration and about thirty percent had microalbuminuria. Patients with unknown history of dia- betes have a high incidence of glucose metabolic disorders and subclinical renal insufﬁciency. OGTT and ACR can identify individuals with subclinical disease requiring a more aggressive treatment of risk factors and more intensive therapy. THE PREVALENCE OF RESISTANT AND UNDERCONTROLLED HYPERTENSION AMONG PATIENTS OF A HYPERTENSION OUTPATIENT CLINIC IN SZEGED L. Péter, P. Legrady, I. Fejes, G. Abraham. University of Szeged, 1st Department of Medicine, Szeged, HUNGARY Objective: In Hungary, between 2005–2009 around 57% of hypertensive patients did not reach the goal blood pressure (BP). Design and method: In one of the Hypertension Outpatient Clinics of the 1st Department of Medicine Nephrology-Hypertension Center in Szeged 310 pa- tients’ data were analyzed. Means of two measurements were calculated. The goal SBP was 140/ mm Hg. Means ± SD are reported. Results: The mean age of hypertensive patients was 61.4 ± 14.3 years. The mean duration of HT was 14.2 ± 12.0 years. Among these 310 HT patients 115 (37%) were men (age 58.2 ± 15.6 years) and 195 (63%) women (age 63.4 ± 13.1 years). BP of 186/310 (60%) patients were in goal range (SBP 124 ± 9 mm Hg) and 124/310 (40%) were not (SBP 155 ± 17 mm Hg). Among the 310 patients 45 (15%) had only DM as additional risk factor, type-1 and type-2 together. Twenty-one (17%) of 124 HT pa- tients with undercontrolled BP had diabetes mellitus (DM) (BP 149 ± 15/89 ± 8 mm Hg). By the deﬁnition of RHT alltogether 234/310 (76%) patients had RHT (BP 158 ± 17/97 ± 8 mm Hg) in this population. But 257/310 (83%) patients were taking 3 or more antihypertensive drugs, and their SBP was 136 ± 20 mm Hg. The difference (n = 23) between 257 and 234 were the patients with 3 drugs but reaching the goal SBP. With combinations of 4 or more drugs 111 of the 234 (47%) RHT patients had BP < 140/90 mm Hg and 63 (27%) of patients with 4 or more drugs them didn’t reach the goal BP. Among the multiple drug combinations, 83/310 (27%) patients were tak- ing 3 antihypertensive drugs, 65/310 (21%) 4 drugs, 48/310 (15%) 5 drugs, 34/310 (11%) 6 drugs, 20/310 (6%) 7 drugs and 7/310 (2%) 8 drugs. Fifteen patients were on monotherapy, their BP were 124 ± 12/79 ± 9 mm Hg, and only 1 of them was under- controlled (BP 154/100 mm Hg). All the patients taking 2 drugs were in goal range. Conclusions: A fourfold combination of antihypertensive agents was the most frequent in this population. The most frequent drug classes were the ACEIs and/or ARBs, the DHP-CCBs and the thiazide diuretics. DETERMINANTS OF HYPERTENSION IN RURAL DELHI, INDIA P. K. Gupta 1 , C. Kohli 2 , J. Kishore 3 , N. Gupta 4 . 1 Jhpiego- MNH Department, Jai- pur, INDIA, 2 Indian Council of Medical Research, New Delhi, INDIA, 3 Vardhman Mahavir Medical College-Department of Community Medicine, New Delhi, IN- DIA, 4 Indian Council of Medical Research, New Delhi, INDIA Objective: To ﬁnd burden and determinants of hypertension in a rural area in Delhi. Design and method: It was a community based cross sectional study Conducted in two rural areas in Delhi. Study was conducted on 1005 adults aged 18 years and above selected by systematic random sampling method over a period of one year from July 2013 to June 2014. A pretested, predesigned, semistructured question- naire schedule was used in local language. WHO STEPS approach was used to study the proﬁle of the hypertension in the population. Results: The prevalence of hypertension was 14.1% (142/1005) among study sub- jects. Hypertension was signiﬁcantly higher in individuals more than 35 years as compared to those less than 35 years. No signiﬁcant difference with tobacco intake was seen between both present and past tobacco users. Hypertension was signiﬁcant- ly higher in those who take alcohol, in subjects with raised total cholesterol levels, tri- glycerides levels and among obese (p value = 0.01). In multivariate analysis only age, education and cholesterol levels were independently associated with hypertension Conclusions: Age, education and cholesterol levels were independent risk fac- tors of hypertension. Education level of people should be raised and cholesterol levels should be cut down using approaches of behaviour change communication in the community. LDL CHOLESTEROL CONTROL IN PATIENTS FROM A HYPERTENSION CLINIC P. Marques, T. Morai, M.J. Lume, S. Tavares, C. Silva, L. Nogueira-Silva, M.J. Lima. Centro Hospitalar de S. João, Porto, PORTUGAL Objective: The evaluation and follow up of hypertensive patients requires the consid- eration of all cardiovascular risk factors such as the lipid proﬁle, particularly the LDL cholesterol. Hypertensive patients usually gather other risk factors that make them high and very high risk patients requiring aggressive LDL control. We aimed to stratify the cardiovascular risk proﬁle from patients evaluated during a year and their LDL control. Design and method: Retrospective study based on clinical records from pa- tients evaluated in Hypertension clinic of a tertiary care hospital during a year. Demographic, biometric and clinical data were gathered. We used the European Society of Cardiology Heart Score to determine the category of risk in 10-years time of our patients and also the exceptions considered in the European Society of Cardiology guidelines. Student t tests and chi-square test were used to compare continuous and categorical variables, respectively. Results: A total of 228 patients, 55% females, aged 60.4 ± 15.9 were evaluated in a year. 31 patients (13.6%) were classiﬁed as low risk, 39 (17.1%) as moderate risk, 21 (9.2%) as high risk and 133 (58.3%) as very high risk. 35% patients were classiﬁed using Heart Score, 30% had established cardiovascular disease and 20% were diabetic and hypertensive patients. 30% of patients did not receive a statin at the moment of observation. Of the 144 patients classiﬁed as high or very high risk 26% didn’t receive a statin and only 26% received a high potency statin. Association with ezetimibe was only used at baseline in 3 patients. At baseline LDL control was accomplished in only 38% of patients. In high and very high risk patients only 19% of patients were con- trolled at baseline. Only 23 patients from the high/very high risk population (15%) were receiving a high potency statin and were not controlled. High salt diet, body weight, risk category and Obstructive sleep apnea were associated with poor LDL control. Conclusions: Many patients evaluated in our Hypertension Clinic were classi- ﬁed as high or very high risk patients. LDL control is markedly insufﬁcient partly due to unawareness and non compliance with European guidelines. THE SPREADING OF RISK FACTORS FOR AH AMONG 29–69 YEARS FEMALE INDIVIDUALS WITH TYPE 2 DIABETES, LIVING IN PAVLODAR Z.Mamedguliyeva, M.K. Tundybayeva, D.D. Utebaliyeva, T.N. Leonovich, G.A. Junusbekova, S.P. Berkinbayev, D. Mukhtarhanova. Scientiﬁc Research In- stitute of Cardiology and Internal Diseases, Almaty, KAZAKHSTAN Objective: To investigate the spreading of AH RF in 29–69 years women with type 2 diabetes, who live in Pavlodar. Design and method: The object of the study was a representative sample of 763 women aged 29–69 years, living in Pavlodar. All surveyed completed a ques- tionnaire to identify non-speciﬁc non-communicable diseases and the presence of bad habits, blood pressure was measured, body mass index was determined, and laboratory studies to determine the lipid spectrum were made. Results: The obtained results demonstrated that among the women with diabetes the most common risk factors were cigarette smoking and low physical activity, which reached 41.0% and 38.4% respectively. Next in frequency of occurrence is the use of alcohol - 31,2% and excess weight of a body (BMI) - 28.1%, followed by obesity (24.2%). Turn to lipid proﬁle, the picture was as follows: the percentage of patients who were diagnosed with LDL was 100%; the percentage of patients with LDL < 2.5 mmol/L amounted to 82.5%, hypercholesterolemia (HCS) was 21.7%; hypocholesterolemia (hypo-cholesterol) - 17,9%, and hypertriglyceride- mia (GTG) was more than 1/3 of surveyed and amounted to 36.8%. Conclusions: The high frequency of the above-mentioned risk factors indicates the absence of timely preventive measures, which are important in ﬁghting hyper- tension, which could prevent the further development of complications and the reduction of mortality rates from heart diseases. APBM HYPERTENSIVE INDEX TIME, IN TREATED HYPERTENSIVE PATIENTS, CAN PREDICT VENTRICULAR REMODELING AND CARDIOVASCULAR EVENTS H. Rus 1 , E. Bobescu 1 , C. Dascalescu 1 , E. Grancea 2 , C. Luca 2 , I. Barsan 2 . 1 University Transilvania Brasov, Brasov, ROMANIA, 2 Emergency Hospital Bra- sov, Brasov, ROMANIA