Implications of New Hypertension Guidelines in the United States
- 1 September 2011
- journal article
- retracted article
- Published by Ovid Technologies (Wolters Kluwer Health) in Hypertension
- Vol. 58 (3), 361-366
- https://doi.org/10.1161/hypertensionaha.111.175463
Abstract
The American Heart Association Task Force released a scientific statement in 2007 for the treatment of hypertension in the prevention of coronary artery disease (CAD). These guidelines recommend more aggressive control of blood pressure (BP) among those at high risk for CAD: individuals with diabetes mellitus, chronic kidney disease, cardiovascular disease, congestive heart failure, or a 10-year Framingham risk score ≥10%. These individuals are advised to maintain a BP 140/90 mm Hg), 98 million (21%) Americans have hypertension. Using the updated guidelines, an additional 52 million (11%) American adults now have elevated BP requiring treatment, for a total of 150 million adults (32%). Adults with diabetes mellitus have the greatest population burden of uncontrolled BP (50.6 million), followed by adults with chronic kidney disease (43.7 million) and cardiovascular disease (43.3 million). Although individuals at a higher risk for CAD are more likely to be aware of their hypertension and to be taking antihypertension medication, they are less likely to have their BP under control. Additional efforts are needed in the treatment of elevated BP, especially among individuals with an increased risk of CAD.Keywords
This publication has 18 references indexed in Scilit:
- Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rates in United States Adults Between 1988–1994 and 1999–2004Hypertension, 2008
- Trends in Hypertension Prevalence, Awareness, Treatment, and Control in Older U.S. Adults: Data from the National Health and Nutrition Examination Survey 1988 to 2004Journal of the American Geriatrics Society, 2007
- Treatment of Hypertension in the Prevention and Management of Ischemic Heart DiseaseCirculation, 2007
- Prevalence, Awareness, Treatment, and Control of Hypertension Among United States Adults 1999–2004Hypertension, 2007
- Effects of Normal, Pre-Hypertensive, and Hypertensive Blood Pressure Levels on Progression of Coronary AtherosclerosisJournal of the American College of Cardiology, 2006
- Dietary Approaches to Prevent and Treat HypertensionHypertension, 2006
- Control of Hypertension in Adults With Chronic Kidney Disease in the United StatesHypertension, 2005
- Prevalence of adequate blood pressure control in self-pay or medicare patients versus medicaid or private insurance patients with systemic hypertension followed in a university cardiology or general medicine clinicThe American Journal of Cardiology, 2004
- Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood PressureHypertension, 2003
- Treatment of Hypertension in Adults With DiabetesDiabetes Care, 2003