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COMMENTS AND OPINIONS
Globalization of Blood Pressure Control
Carlos Escobar, MD, PhD;
Vivencio Barrios, MD, PhD
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Treatment of hypertension markedly reduces the risk of cardiovascular complications. In a recent survey performed by Ingelsson et al,1 long-term blood pressure (BP) progression across different periods was evaluated. Thus, BP control in participants in the Framingham Heart Study who initially did not have hypertension was analyzed. Two periods were considered. The earlier period ranged from 1953 to 1971 (n = 1644; mean participant age, 61 years) and the later period ranged from 1971 to 1990 (n = 1040; mean participant age, 58 years). In this study, rates of hypertension control were higher in the later vs the earlier period (32% vs 23%; P < .001), and this translated into a lesser probability of cardiovascular outcomes. As the authors concluded, hypertension treatment in the community has altered the natural history of BP progression and its relation to clinical outcome. However, this is not only related to the . . . [Full Text of this Article]
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