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Related Experiment Videos

Effective hypertension control in inner city blacks.

S Spitalewitz1, E L Parnes, J G Porush

  • 1Division of Nephrology and Hypertension, Brookdale Hospital Medical Center, Brooklyn, NY 11212.

New York State Journal of Medicine
|May 1, 1991
PubMed
Summary

Patients with resistant hypertension had controlled blood pressure in 82% of cases. Factors like missed appointments and psychosocial issues impacted control in the remaining 18% of patients.

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Area of Science:

  • Cardiology
  • Internal Medicine
  • Public Health

Background:

  • Resistant hypertension affects a significant patient population.
  • Effective management strategies are crucial for controlling blood pressure and preventing complications.

Purpose of the Study:

  • To evaluate the outcomes of patients with resistant hypertension treated at a specialized clinic.
  • To identify factors associated with blood pressure control in this patient group.

Main Methods:

  • Retrospective review of 105 randomly selected patients from a resistant hypertension clinic.
  • Comparison of demographic, clinical, and treatment data between patients with controlled (Group I) and uncontrolled (Group II) diastolic blood pressure (<90 mm Hg).

Main Results:

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  • 82% of patients achieved controlled diastolic blood pressure (Group I).
  • Group II patients showed substantial improvement but remained uncontrolled; they had significantly more missed visits (p<0.01) and lower medication compliance, often due to psychosocial issues.
  • While medication availability was higher in Group II (Medicaid recipients), this did not ensure better control.

Conclusions:

  • Specialized clinics can achieve good blood pressure control in a majority of resistant hypertension cases.
  • Missed appointments, poor medication compliance, and psychosocial factors are significant barriers to achieving blood pressure control in a subset of patients.
  • Addressing these non-clinical factors is essential for optimizing hypertension management.