OBJECTIVES: To determine cardiovascular risk factors profile (CVRF) and the percentage of patients reaching goals as defined by ATP III, in a population of patients with dyslipidemia and/or hypertension, in daily clinical practice. METHODS: A total of 9001 patients with dyslipidemia and/or hypertension, assigned to four Catalan primary care centres were selected. 1) CVRF profile; 2) a classification of the patients by LDL cholesterol (cLDL) levels, as for the ATP III criteria; and 3) the percentage of patients reaching optimal control goals, were estimated for the three groups: hypertensives without dyslipidemia (HT without DL), patients with dyslipidemia without HT (DL without HT) and hypertensives with dyslipidemia (HT with DL). RESULTS: 1) Cardiovascular heart disease or equivalent was present in 36.8%. A 7.9% had one CVRF; 29.2% two CVRF; 43.2% three CVRF; 17.1% four CVRF and 2.1% five CVRF 2) Precentage with opitmal cLDL control was 40.1 % for HT without DL, 29.6% for DL without HT and 27.8% for HT with DL. 3) A 27.1 % simultaneously had optimal levels of cLDL and blood pressure (BP). That percentage was 30.1% for HT without DL; 27.5 % for DL without HT and 21.9 % for DL with HT (p<0.0001). CONCLUSION: More than one-third (36.8%) of patients with hypertension and/or dyslipidemia have a previous history of cardiovascular disease or equivalent. Almost two-thirds (62.9%) presented with one or more additional CVRF. Despite high quality standards, the proportion of patients with optimal levels of cLDL and BP (27.1%) is small and there is much room for improvement.