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[Optimized therapy for hypertension].

T Heise1, E Jennen, P T Sawicki

  • 1Abteilung für Innere Medizin, St. Franziskus Hospital Köln.

Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|August 7, 2001
PubMed
Summary

A structured Hypertension Treatment and Teaching Program (HTTP) improves blood pressure control and reduces hypertension-associated diseases by actively involving patients in their treatment through education and self-monitoring.

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Area of Science:

  • Cardiology
  • Hypertension Management
  • Public Health

Context:

  • Arterial hypertension control is crucial for reducing morbidity and mortality, especially in high-risk patients.
  • Despite increased antihypertensive drug prescriptions, blood pressure control remains unsatisfactory in many patients, including those with essential hypertension and diabetes.
  • Less than a minority of patients achieve target blood pressure values below 140/90 mm Hg.

Purpose:

  • To describe a structured Hypertension Treatment and Teaching Program (HTTP) designed to intensify antihypertensive therapy.
  • To enhance patient compliance through education on non-pharmacological and pharmacological treatments and self-measurement of blood pressure.
  • To evaluate the efficacy and feasibility of the HTTP.

Summary:

  • The Hypertension Treatment and Teaching Program (HTTP) involves patients actively in their hypertension management.
  • The program focuses on patient education regarding treatment options and promotes regular self-monitoring of blood pressure.
  • Evaluations demonstrate significant improvements in blood pressure control and a reduction in hypertension-related complications.

Impact:

  • The HTTP shows considerable benefits in blood pressure control and reducing the incidence and progression of hypertension-associated diseases.
  • Significant reductions observed in cerebrovascular events, cardiovascular events, and diabetic nephropathy.
  • Implementation of the HTTP in the German healthcare system is recommended to improve patient care quality for arterial hypertension.

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