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We Can Do a Better Job

Arch Intern Med. 2003;163:654-656.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

CONCERNS ABOUT poor control of elevated blood pressure in the United States have been repeatedly expressed during the past several years. The 1991-1994 National Health and Nutrition Examination Survey¹ reported that fewer than 30% of patients with elevated blood pressure (defined as 140/90 mm Hg) have their blood pressure controlled at goal levels. Results of investigations of elderly patients suggest an even lesser degree of control. Despite these seemingly poor results, there has been a remarkable decrease in the numbers of hypertensive patients who have progressed to severe hypertension or who develop strokes, congestive heart failure, or end-stage renal disease in their 40s, 50s, and 60s as a result of their hypertension.² Although the incidence of congestive heart failure and end-stage renal disease has increased in the last 15 to 20 years, the types of patients reaching these outcomes are different than patients from years ago; they are considerably older . . . [Full Text of this Article]

HYPERTENSIVE AND DIABETIC PATIENT STATISTICS


THE NEW "AWARENESS" SURVEY

LIFESTYLE CHANGES AND BLOOD PRESSURE LOWERING

SURVEY SPECIFICS

ARE TREATMENT GUIDELINES BEING IMPLEMENTED?

CONCLUSIONS


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