No Time to Waste: in Support of Aggressive and Immediate Management of Hypertension

Prevention of Hypertension: Public Health Challenges (P Muntner, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Prevention of Hypertension: Public Health Challenges

Abstract

Untreated and uncontrolled hypertension (HTN) presents a major public health burden in the USA and worldwide. Despite the known risk for increased cardiovascular (CV) morbidity and mortality, blood pressure remains untreated and uncontrolled at alarming rates of between 20 and 40 % in patients with known HTN. Further, while cumulative evidence indicates that early onset of antihypertensive effect improves CV outcomes, the time to blood pressure (BP) control remains long. The objective of hypertension management cannot be simply to achieve and maintain the goal BP, but to do so quickly to improve short-term and long-term CV outcomes. In this review, we will (1) describe the magnitude of uncontrolled HTN, (2) identify the factors that contribute to uncontrolled BP in patients with the diagnosis of HTN, and (3) explore the rationale for and benefits of aggressive and immediate control of HTN.

Keywords

Hypertension Blood pressure control Cardiovascular risk 

Abbreviations

BP

Blood pressure

CAD

Coronary artery disease

CKD

Chronic kidney disease

CV

Cardiovascular

CVD

Cardiovascular disease

DM

Diabetes mellitus

HTN

Hypertension

JNC

Joint National Committee

Notes

Compliance with Ethical Standards

Conflict of Interest

Dr. Fudim declares that he owns stock in Cibiem. Dr. Vemulapalli declares a grant from the American College of Cardiology.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of CardiologyDuke University School of MedicineDurhamUSA
  2. 2.Duke Clinical Research InstituteDurhamUSA

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