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Practical solutions to the challenges of uncontrolled hypertension: a white paper
Josep Redon1, Hans R Brunner, Claudio Ferri
1Hypertension Clinic, Internal Medicine, Hospital Clinico, University of Valencia, Valencia, Spain. josep.rendon@uv.es
Insights
Hypertension management requires urgent action to address challenges like poor prevention and therapeutic inertia. Effectively treating
Area of Science:
- Cardiology and Public Health
Background:
- Persistent failure to control hypertension leads to significant patient, family, and societal burdens.
- Patients with blood pressure 140/90 mmHg or greater are 'challenging patients' at high risk, needing optimized therapy to reach goal blood pressure.
Framework:
- Identifies six key challenges: inadequate primary prevention, poor risk awareness, lack of simplicity, therapeutic inertia, insufficient patient empowerment, and unsupportive healthcare systems.
- Proposes straightforward actions for rapid improvements in hypertension management.
Implementation:
- Focuses on effective treatment of all challenging patients to achieve goal blood pressure.
- Aims to prevent disability and save lives through improved hypertension control.
Implications:
- Highlights the critical need for a systematic approach to overcome barriers in hypertension care.
- Emphasizes the potential for significant public health gains through effective management strategies.
Abstract:
This white paper is an urgent call to action from an international group of physicians. The continued failure to control hypertension takes an unacceptable toll on patients, families and society and it must be addressed. Any patient with blood pressure of 140/90 mmHg or greater can be characterized as a 'challenging patient', is at significant risk, and requires persistent optimization of therapy until target blood pressure is achieved. Six key challenges in reaching this goal blood pressure are described: (1) inadequate primary prevention; (2) faulty awareness of risk; (3) lack of simplicity; (4) therapeutic inertia; (5) insufficient patient empowerment; and (6) unsupportive healthcare systems. This white paper identifies straightforward actions that will produce rapid improvements in the management of hypertension, with a simple aim: to treat all challenging patients effectively to goal blood pressure, preventing disability and saving lives.
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