Achieving Blood Pressure Goals

Why Aren't We?

William Cushman, Jan Basile

Research output: Contribution to journalReview article

37 Citations (Scopus)

Abstract

The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) recommends a blood pressure (BP) goal of <140/90 mm Hg in patients with hypertension and <130/80 mm Hg in those with diabetes or chronic kidney disease. Achievement of BP goals is associated with significant benefits in cardiovascular morbidity and mortality. Although evidence suggests these goals are attainable, only about one third of patients are meeting them. There is a significant gap between treatment guideline recommendations and their implementation in clinical practice. Many clinicians appear satisfied with modest BP reductions and do not make the necessary treatment adjustments to achieve BP goals. Patient nonadherence is another important reason for lack of BP control. For the success of clinical trials to be reproduced in clinical practice, clinicians must recognize the importance of treating BP to goal, emphasize to patients the need to adhere to treatments, and provide persistent, goal-targeted therapy.

Original languageEnglish (US)
Pages (from-to)865-871
Number of pages7
JournalJournal of Clinical Hypertension
Volume8
Issue number12
DOIs
StatePublished - Jan 1 2006

Fingerprint

Blood Pressure
Hypertension
Therapeutics
Social Adjustment
Patient Compliance
Chronic Renal Insufficiency
Clinical Trials
Guidelines
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Cite this

Achieving Blood Pressure Goals : Why Aren't We? / Cushman, William; Basile, Jan.

In: Journal of Clinical Hypertension, Vol. 8, No. 12, 01.01.2006, p. 865-871.

Research output: Contribution to journalReview article

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