OBJECTIVES: Compare health outcomes and health resources utilization in patients with hypertension attended in primary care after 10 years of current clinical follow-up. METHODS: Cross-sectional study. Setting: 9 urban health centres sampled in 1996 and 2006. Subjects: 1996: 1144 patients with hypertension; 2006:1110 patients with hypertension. RESULTS: From 1996 to 2006, here are the RESULTS: sociodemographic variables: 622%/59.4% females, Age: 64.5 years (IC 95% 63.95-65.15); 64,6 years (CI 95% 63.78-65.45); Low cultural level 48%/32.9%; Retired people 49%/41.3%; Housewives 28.8%/34%: Living in couple 69.3%/76.1%. Health outcomes: Systolic Blood Pressure Controlled (SBP<140mmHg) 40%/35.8% patients; Dyastolic Blood Pressure Controlled (DBP < 90 mmHg).68.6%/76.9% patients. SBP and DBP controlled 36%/32.1% patients. Body Mass Index (BDI)31.0+5.10kg/m2 /31.13kg/m2 IC95%[30.64-31.62]. Total Cholesterol 212.44 mg/dl IC95%[208.28-216.60] HDL- Cholesterol 53.35 mg/dl IC95%[51.52 - 55.18]. Calidad de vida: Nottingham Health Profile(0-100): 23.09+22.3 points/31.35 points IC95%[27.8 – 34.34]. Health resources utilization: Clinical appointments in one year: 4.5+3.6/13.12(IC95% 12,51-14,31). Annual analysis: 61.8%/59.9%, Annual electrocardiogram 42.2%/30.2%, Annual Chest radiography 3%/4.1%. Annual referrals: cardiologist: 5%/12.1%; ophthalmologist 20.0%/12.8%; nephrologist 3%/2.9%; hospital emergencies 8.1%/1.3%. CONCLUSION: Comparable samples. Unexpected results in blood pressure control: better in dyastolic but worse in systolic and global blood pressure. Persistent obesity. Quality of life worsening. Disagreement between worse health outcomes and larger health resources utilization.