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Updated: Apr 20, 2026
04:37
Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
Published on: June 6, 2025
897
Why is my hypertensive patient still not controlled?
Alessandro Filippi1, Luca Degli Esposti, Stefano Buda
1Italian College of General Practitioners, Firenze, Italy.
Summary
Many hypertensive patients remain uncontrolled despite efforts. Key barriers include missed appointments and patient reluctance to adjust medication, highlighting areas for improved blood pressure management.
Area of Science:
- Cardiology
- General Practice
- Public Health
Background:
- Despite established strategies, achieving optimal blood pressure (BP) control remains a challenge for a significant portion of hypertensive patients.
- Even after implementing improvement initiatives, over one-third of patients with hypertension do not reach target BP levels.
Purpose of the Study:
- To investigate the reasons behind persistent lack of blood pressure control in hypertensive patients from the perspective of General Practitioners (GPs).
- To identify key barriers hindering BP target achievement despite ongoing clinical efforts.
Main Methods:
- An audit was conducted, increasing the BP control rate from 50.8% to 64.1%.
- Participating GPs analyzed 2,674 uncontrolled patients (based on defined BP thresholds) and completed a questionnaire on non-attendance and control failure reasons.
Main Results:
- Blood pressure values were missing for 66.1% of patients, primarily due to difficulties in contact or patient non-attendance.
- Among patients with recorded BP, reasons for lack of therapeutic intensification included patient choice (29%) and a 'wait and see' strategy (26%).
Conclusions:
- Prioritizing engagement with patients who irregularly attend medical appointments is crucial for improving BP control.
- Addressing patient unwillingness to adjust therapy represents another key area for enhancing hypertension management outcomes.
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