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When general
practice physicians and patients work together and set a reduction
goal, blood pressure control improves, according to a study reported
at the 18th annual scientific meeting of the American Society
of Hypertension in New York.
Researchers
reported on a study involving 910 patients whose hypertension
was either previously untreated or unsatisfactorily controlled.
Their physicians
were given information on well-established guidelines for managing
hypertension. Participants were followed for a maximum of five
visits or fewer if they reached a target blood pressure goal of
less than 140/90 mm Hg.
Study author
Dr. Ingrid Os, of the University of Oslo in Norway, reported that
32.7 percent of the uncontrolled patient group and 28.1 percent
of the previously untreated group reached a blood pressure target
of less than 140/90 mm Hg.
Os added that
the percentage of patients achieving either a systolic or diastolic
target was 71.7 percent of the uncontrolled patient group and
70.5 percent of the previously untreated.
The general
practitioners found the total risk profile (concomitant disease
and target organ damage) was similar in both groups. However,
more patients in the unsatisfactorily controlled blood pressure
group suffered from cerebrovascular events, coronary heart disease,
peripheral arterial disease and diabetes.
"We
found blood pressure control was obtained faster in the younger patients and in
patients who were previously untreated, which could be attributed to less complicated
hypertension," Os said. "Much more must be done on the part of both
physicians and patients if we are ever going to satisfactorily control hypertension." Other
sources: American Society of Hypertension
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