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Barriers to Blood Pressure Control
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I read with interest the study by Oliveria et al.1 I
have a few questions about the study along with some general comments.
Patients were said to have uncontrolled hypertension if the average
blood pressure (BP) reading for up to 6 visits during the 6 months prior to
the index visit was greater than 139/89 mm Hg. It is not mentioned what the
average number of visits was in the study population, and the reason(s) for
the visits prior to the index visit were not ascertained in the study. This
is important because the previous visit might have been for urgent care (eg,
common cold, low back pain) when the BP might have been 154/90 mm Hg and at
the index visit BP might have been 136/84 mm Hg; the average BP then would
be 145/87 mm Hg, which is concluded as uncontrolled BP. One would think that
most patients . . . [Full Text of this Article]
RELATED ARTICLE
Physician-Related Barriers to the Effective Management of Uncontrolled Hypertension
Susan A. Oliveria, Pablo Lapuerta, Bruce D. McCarthy, Gilbert J. L'Italien, Dan R. Berlowitz, and Steven M. Asch
Arch Intern Med. 2002;162(4):413-420.
ABSTRACT
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