Reprint of: Prevention and Control of Hypertension: JACC Health Promotion Series.
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| Abstract |
Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potassium, insufficient physical activity, and consumption of alcohol. Prevention and control of hypertension can be achieved through targeted and/or population-based strategies. For control of hypertension, the targeted strategy involves interventions to increase awareness, treatment, and control in individuals. Corresponding population-based strategies involve interventions designed to achieve a small reduction in blood pressure (BP) in the entire population. Having a usual source of care, optimizing adherence, and minimizing therapeutic inertia are associated with higher rates of BP control. The Chronic Care Model, a collaborative partnership among the patient, provider, and health system, incorporates a multilevel approach for control of hypertension. Optimizing the prevention, recognition, and care of hypertension requires a paradigm shift to team-based care and the use of strategies known to control BP.
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| Authors | Robert M Carey, Paul Muntner, Hayden B Bosworth, Paul K Whelton |
| Journal | Journal of the American College of Cardiology (J Am Coll Cardiol) Vol. 72 Issue 23 Pt B Pg. 2996-3011 (12 11 2018) ISSN: 1558-3597 [Electronic] United States |
| PMID | 30522633 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Review) |
| Copyright | Copyright © 2018 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. |
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