scholarly journals India Hypertension Control Initiative—Hypertension treatment and blood pressure control in a cohort in 24 sentinel site clinics, India

2020 ◽  
Author(s):  
Prabhdeep Kaur ◽  
Abhishek Kunwar ◽  
Meenakshi Sharma ◽  
Jhilam Mitra ◽  
Chinmoyee Das ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Sentinel Site ◽  
Hypertension Treatment ◽  
Hypertension Control ◽  
Control Initiative

Antihypertensive treatment and blood pressure control relative to hypertension treatment guidelines

2014 ◽  
Vol 23 (12) ◽  
pp. 1294-1302 ◽  
Author(s):  
Christopher G. Rowan ◽  
John Rick Turner ◽  
Ankit Shah ◽  
Jeffrey A. Spaeder
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Antihypertensive Treatment ◽  
Treatment Guidelines ◽  
Pressure Control ◽  
Hypertension Treatment

Device Therapy of Hypertension

2021 ◽  
Vol 128 (7) ◽  
pp. 1080-1099
Author(s):  
Felix Mahfoud ◽  
Markus P. Schlaich ◽  
Melvin D. Lobo
Keyword(s):  
Blood Pressure ◽  
Nervous System ◽  
Blood Pressure Control ◽  
Carotid Body ◽  
Renal Denervation ◽  
Pressure Control ◽  
Hypertension Control ◽  
Baroreflex Activation Therapy ◽  
Improve Blood Pressure Control ◽  
Activation Therapy

In the past decade, efforts to improve blood pressure control have looked beyond conventional approaches of lifestyle modification and drug therapy to embrace interventional therapies. Based upon animal and human studies clearly demonstrating a key role for the sympathetic nervous system in the etiology of hypertension, the newer technologies that have emerged are predominantly aimed at neuromodulation of peripheral nervous system targets. These include renal denervation, baroreflex activation therapy, endovascular baroreflex amplification therapy, carotid body ablation, and pacemaker-mediated programmable hypertension control. Of these, renal denervation is the most mature, and with a recent series of proof-of-concept trials demonstrating the safety and efficacy of radiofrequency and more recently ultrasound-based renal denervation, this technology is poised to become available as a viable treatment option for hypertension in the foreseeable future. With regard to baroreflex activation therapy, endovascular baroreflex amplification, carotid body ablation, and programmable hypertension control, these are developing technologies for which more human data are required. Importantly, central nervous system control of the circulation remains a poorly understood yet vital component of the hypertension pathway and mandates further investigation. Technology to improve blood pressure control through deep brain stimulation of key cardiovascular control territories is, therefore, of interest. Furthermore, alternative nonsympathomodulatory intervention targeting the hemodynamics of the circulation may also be worth exploring for patients in whom sympathetic drive is less relevant to hypertension perpetuation. Herein, we review the aforementioned technologies with an emphasis on the preclinical data that underpin their rationale and the human evidence that supports their use.

scholarly journals Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project

2016 ◽  
Vol 18 (12) ◽  
pp. 1284-1294 ◽  
Author(s):  
Pragna Patel ◽  
Pedro Ordunez ◽  
Donald DiPette ◽  
Maria Cristina Escobar ◽  
Trevor Hassell ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Morbidity And Mortality ◽  
Hypertension Treatment ◽  
Treatment And Prevention ◽  
Prevention Project

scholarly journals Socio-demographic, Clinical Characteristics and Status of Hypertension Control among Rural Hypertensive Patients

1970 ◽  
Vol 6 (1) ◽  
pp. 5-9
Author(s):  
NU Ahmed ◽  
M Rahman ◽  
MDU Islam ◽  
SY Ali ◽  
AM Hossain ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Clinical Characteristics ◽  
Pressure Control ◽  
Cross Sectional Study ◽  
Hypertension Control ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Education And Awareness ◽  
Males And Females

Hypertension is an important independent predictor of cardiovascular disease, cerebrovascular accidents and death. The prevalence of cardiovascular diseases and hypertension is rapidly increasing in developing countries. A cross sectional study was conducted among 103 hypertensive patients during December 2009 to June 2010 in Goshair Hat Upazilla of Shariatpur District to determine the socio-demographic, clinical characteristics and status of control of hypertension in rural population. Respondents were distributed more or less equally among males and females. The mean ± SD and median age of the respondents were calculated as 59.97 ± 11.12 years, with 64% of them were included in the age group of 51 to 70 years. More than half of the respondents were housewives (51.5%), which were followed by businessmen (21.4%). Every three of five patients were over weight, while 22.3% respondents were obese. One third of the respondents were also diabetic (33%). None of the 103 patients had achieved the target for SBP (Systolic blood pressure) control (<140mm of Hg) and only 21.4% of the patients had achieved the target for DBP (Diastolic blood pressure) control (<90 mm of Hg). Again none of the diabetic hypertensive patients had achieved the target for SBP control (<130mm of Hg) and only one patient had achieved the target for DBP control (<80 mm of Hg). Overall five patients were found to have uncontrolled and severe hypertension (BP >180/110 mm of Hg), all of whom were female. From this study control of hypertension was found poor among rural hypertensive population. For effectively combating the burden of hypertension in this population, education and awareness about hypertension needs to be given priority. Key words: Hypertension; socio-demographic characteristics; rural area; control of blood pressure DOI: 10.3329/fmcj.v6i1.7402 Faridpur Med. Coll. J. 2011;6(1): 05-09

Hypertension treatment in a medicare population: Adherence and systolic blood pressure control

2007 ◽  
Vol 29 (5) ◽  
pp. 972-984 ◽  
Author(s):  
Vicki Fung ◽  
Jie Huang ◽  
Richard Brand ◽  
Joseph P. Newhouse ◽  
John Hsu
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Hypertension Treatment ◽  
Medicare Population

scholarly journals Bedtime Hypertension Treatment Increases Ambulatory Blood Pressure Control and Reduces Cardiovascular Risk in Resistant Hypertension

Hypertension ◽  
2011 ◽  
Vol 58 (4) ◽  
Author(s):  
Diana E. Ayala ◽  
Ramón C. Hermida ◽  
Francesco Portaluppi ◽  
Michael H. Smolensky
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Blood Pressure Control ◽  
Ambulatory Blood Pressure ◽  
Resistant Hypertension ◽  
Pressure Control ◽  
Hypertension Treatment

Abstract MP64: Trends in Racial Differences in Control of Hypertension, 2008-2014

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Kristi Reynolds ◽  
Zoë Bider ◽  
Corinna Koebnick ◽  
Michael Kanter ◽  
Joel Handler
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Racial Differences ◽  
Blood Pressure Control ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Patient Activation ◽  
Pressure Control ◽  
Health Care Delivery System ◽  
Hypertension Control

Background: Racial disparities in blood pressure control in the U.S. have been well documented. In 2010, Kaiser Permanente Southern California (KPSC), a large and diverse integrated health care delivery system that provides care to over 4 million members, implemented a series of changes in health care delivery to address the disparity in hypertension control. Key elements included changes to the care team, patient activation, meaningful use of health information technology, and leadership vision. Methods: We examined trends in hypertension control between 2008 and 2014 by race/ethnicity in KPSC members aged 18 years and older. Patients with hypertension were identified from the KPSC POINT® (Permanente Online Interactive Network Tool) population care management hypertension registry. Blood pressure control was defined according to JNC-7 criteria in the fourth quarter of each calendar year from 2008 through 2014. Results: Between 2008 and 2014, the hypertension population increased from 624,493 to 745,382, while the prevalence was stable (25.9% in 2008 and 25.6% in 2014). During this period, the proportion of Whites and Blacks decreased slightly from 45.4% to 43.0% and 14.3% to 13.5%, respectively, while the proportion of Hispanics and Asian/Pacific Islanders increased from 25.2% to 29.0% and 9.8% to 11.3%, respectively. Hypertension control increased from 74.0% in 2008 to 83.8% in 2014 and increased across age, sex, and racial/ethnic groups (Figure). Blacks had the largest improvement in hypertension control (68.8% to 80.8%), which was primarily driven by those aged 65+ years. The disparity in hypertension control between Whites and Blacks decreased from 6.9% to 5% between 2008 and 2014. Conclusions: While ecologic in nature, the secular increases in hypertension control suggest that implementation of a series of system-wide changes can affect all subpopulations.

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