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Medicineworld.org: Get More Hypertensive Patients To Goal

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Get More Hypertensive Patients To Goal

Get More Hypertensive Patients To Goal
This World High blood pressure Day, the results of a global survey are being announced, uncovering alarming gaps between current and recommended high blood pressure management, and important insights into doctor awareness of the importance of blood pressure goal achievement.

In response to the Close The Gap survey findings, the World High blood pressure League is supporting a call for better awareness of the importance of hypertension patients reaching the internationally-recognised goal of 140/90mmHg or lower.

At the moment, around 50-70% of the one billion people with hypertension worldwide remain above this goal, leaving them at significant risk of coronary artery disease, heart failure, stroke, vascular and kidney damage1,2.

Dr Claude Lenfant, President of the World High blood pressure League, commented on the survey findings, "Viewed simply, for every 20/10mmHg rise in blood pressure above this level, the risk of death from cardiovascular problems doubles3. International guidelines have set a clear goal - every patient with high blood pressure needs to have their blood pressure reduced to 140mmHg or below".

The Close The Gap survey, conducted with 1,259 primary care physicians across 17 countries, compared physicians' perceptions against the reality of current high blood pressure management.

Encouragingly, the findings confirmed that most physicians are aware of the recommended blood pressure goal for high blood pressure patients (140/90mmHg), and that the vast majority (96%) know treating patients to blood pressure goal significantly reduces their risk of cardiovascular disease4.

However, the survey also showed that over 40% of physicians would be satisfied to reduce patients' blood pressure to an "acceptable level" only, rather than fully to the recommended goal4. Further, surveyed physicians overestimated the proportion of their patients reaching blood pressure goal. Over half believed 70% of their high blood pressure patients are at their blood pressure goal,4 when epidemiological data show that worldwide only 30-50% of high blood pressure patients are actually at goal 2.

Examining doctor views on therapy options, the survey revealed that physicians believe combination treatment would get more of their patients to goal, with 71% indicating they would give patients combination treatment if not reaching goal on monotherapy4. However, recent studies show that fewer than 20% of uncontrolled monotherapy patients are switched to combination treatment during follow-up visits5,6.

Additionally, whilst the vast majority of physicians (96%) recognised high blood pressure is one of the most important cardiovascular conditions, only 54% cited it as one of the most challenging cardiovascular conditions to manage. This suggests that some physicians may currently underestimate what is involved in successfully getting all high blood pressure patients to goal,4 and may help explain why the number of patients not at goal worldwide is so high.

Respondents identified a need for better patient education, so that patients can take a shared role in achieving blood pressure goal. 83% confirmed that more patients would successfully reach goal if they were more aware of their current blood pressure and their goal.

Dr Lenfant, World High blood pressure League, concludes, "The Close The Gap survey has identified key areas where current high blood pressure management differs from international guideline recommendations. We recognise that high blood pressure is a very complex and difficult condition to manage, and we welcome the survey in helping to identify areas in which we can work with and support physicians, to get more high blood pressure patients to goal".




Did you know?
This World High blood pressure Day, the results of a global survey are being announced, uncovering alarming gaps between current and recommended high blood pressure management, and important insights into doctor awareness of the importance of blood pressure goal achievement.

Medicineworld.org: Get More Hypertensive Patients To Goal

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