Updated hypertension prevalence, awareness, and control rates based on the 2017ACC/AHA high blood pressure guideline

Area of Science:

• Cardiology
• Public Health
• Hypertension Management

Background:

• The 2017 American College of Cardiology/American Heart Association (ACC/AHA) updated guidelines for managing high blood pressure (HBP) in adults.
• Previous HBP guidelines established baseline hypertension prevalence, awareness, and control rates.

Purpose of the Study:

• To evaluate the impact of the 2017 ACC/AHA HBP guideline on hypertension prevalence, awareness, and control rates.
• To assess factors associated with hypertension prevalence under the new guideline.

Main Methods:

• Analysis of data from 66,977 individuals examined at the Second Hospital of Hebei Medical University between January 2012 and December 2017.
• Evaluation of hypertension prevalence, awareness, and control rates based on the 2017 ACC/AHA HBP guideline criteria.
• Assessment of demographic information and risk factors related to hypertension.

Main Results:

• Hypertension prevalence increased from 30.54% to 51.45% under the 2017 guideline, identifying more individuals with HBP.
• Awareness rates decreased from 44.33% to 26.31%, and control rates declined from 13.04% to 2.72%.
• Newly diagnosed hypertension patients were often younger, low-risk individuals without prior hypertension history.

Conclusions:

• The 2017 ACC/AHA HBP guideline highlights a substantial increase in hypertension prevalence.
• The updated guideline revealed significantly lower awareness and control rates for hypertension.
• There is a continued high prevalence of hypertension, necessitating improved strategies for detection and management.