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Improving Hypertension Control Rates: Technology, People, or Systems?
Daniel W. Jones, MD;
Eric D. Peterson, MD, MPH
JAMA. 2008;299(24):2896-2898.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hypertension is the most common reversible cardiovascular disease risk factor in the United States and around the world. By 2025, it is predicted that more than 1.5 billion individuals worldwide will have hypertension, accounting for up to 50% of heart disease risk and 75% of stroke risk.1-2 Yet the ravages of hypertension are potentially preventable. For several decades, it has been well known that lowering blood pressure (BP) with lifestyle modification, medications, or both can substantially reduce a patient's subsequent risk for disease.3 For each 10-mm Hg decrease in systolic BP, the average risk of heart disease mortality and cerebrovascular disease mortality decreases by 30% and 40%, respectively.4
Despite effective therapies and proven benefits, only about one-third of patients with hypertension in the United States have their BP lowered to target goals. While control rates have increased slightly over time from . . . [Full Text of this Article]
Author Affiliations: University of Mississippi Medical Center, Jackson (Dr Jones); and Duke Clinical Research Institute, Durham, North Carolina (Dr Peterson). Dr Jones is the president of the American Heart Association. Dr Peterson is also Contributing Editor, JAMA.
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