Why in 2016 are patients with hypertension not 100% controlled? Acall to action

被引:44
作者
Redon, Josep [1 ,2 ]
Mourad, Jean-Jacques [3 ,4 ]
Schmieder, Roland E. [5 ]
Volpe, Massimo [6 ,7 ]
Weiss, Thomas W. [8 ]
机构
[1] Univ Valencia, INCLIVA Res Inst, Ave Menendez & Pelayo 4, Valencia 46010, Spain
[2] CIBERObn ISCIII, Ave Menendez & Pelayo 4, Valencia 46010, Spain
[3] Unite Med Interne HTA, Paris, France
[4] CHU Avicenne, Paris, France
[5] Univ Erlangen Nurnberg, Univ Hosp, Erlangen, Germany
[6] Univ Roma La Sapienza, Rome, Italy
[7] IRCCS Neuromed, Pozzilli, Italy
[8] Wilhelminenhospital, Dept Med 3, Vienna, Austria
关键词
blood pressure; call to action; hypertension; BLOOD-PRESSURE CONTROL; ARTERIAL-HYPERTENSION; DRUG PRESCRIPTIONS; RISK-FACTORS; PREVALENCE; MANAGEMENT; POPULATION; AWARENESS; CANADA; SOCIETY;
D O I
10.1097/HJH.0000000000000988
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The objective is to consider the problem of high blood pressure (BP), a leading global risk factor, associated with substantial morbidity and mortality. Despite the availability of treatment guidelines and a wide range of therapies, BP control is suboptimal in many countries. Recent data indicate that only around 40% of patients manage to achieve an adequate level of BP control. A group of international experts in the field of hypertension met in 2008 to consider this problem. The resulting white paper delivered an urgent call to action and identified six key issues for improving BP control. In 2015, a working group of investigators spontaneously undertook an action with the primary aim of considering the current hypertension management situation in Europe, to discuss whether the situation had changed since 2008 and to determine what can be learnt from the projects in other continents, such as the Canadian Hypertension Education Program, which has shown that higher levels of BP control can be achieved across a general population. The working group identified the main challenges affecting the improvement of BP control today and suggests five key actions: identify the BP treatment target of less than 140/90 mmHg for the majority of patients, simplify treatment strategies and encourage pill reduction, decrease therapeutic inertia, improve patient empowerment, and involve healthcare systems and reduce the prevailing focus on drug costs in many healthcare systems. Implementing key actions identified by the working group may help to improve achievement of better BP control across Europe.
引用
收藏
页码:1480 / 1488
页数:9
相关论文
共 60 条
[1]   Prevalence, awareness, treatment, and control of hypertension among Ghanaian population in Amsterdam, the Netherlands: the GHAIA study [J].
Agyemang, Charles ;
Nicolaou, Mary ;
Boateng, Linda ;
Dijkshoorn, Henriette ;
van de Born, Bert-Jan ;
Stronks, Karien .
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2013, 20 (06) :938-946
[2]   A Cross-National Comparative Study of Blood Pressure and Hypertension Between English and Dutch South-Asian- and African-Origin Populations: The Role of National Context [J].
Agyemang, Charles ;
Kunst, Anton ;
Bhopal, Raj ;
Zaninotto, Paola ;
Unwin, Nigel ;
Nazroo, James ;
Nicolaou, Mary ;
Redekop, William Ken ;
Stronks, Karien .
AMERICAN JOURNAL OF HYPERTENSION, 2010, 23 (06) :639-648
[3]  
[Anonymous], BLOOD PRESS MED 5 YE
[4]  
[Anonymous], 32 NAT C SIIA 2015 2
[5]  
[Anonymous], CARDIOVASC PREV
[6]  
[Anonymous], J CLIN HYPERTENS
[7]  
[Anonymous], 2011, GLOBAL STATUS REPORT
[8]  
[Anonymous], KEY MESS 2015
[9]  
[Anonymous], HIGH BLOOD PRESS WHY
[10]  
[Anonymous], 2015 CHEP REC