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Assessing the Impact of Intensified Hypertension (HTN) Treatment Guidelines: A Single Center Experience

Amir Naqvi1, Marc T Zughaib2, David Freeman1

  • 1Cardiology, Ascension Providence Hospital, Southfield, USA.

Cureus
|January 23, 2023
PubMed

Insights

The 2017 hypertension definition change led to increased medication prescriptions and a slight decrease in blood pressure within a cardiology practice, impacting patient management strategies.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Clinical Practice Guidelines

Background:

  • Hypertension (HTN) is a major risk factor for cardiovascular diseases.
  • The 2017 ACC/AHA guidelines redefined hypertension, lowering diagnostic thresholds.
  • This reclassification potentially impacts clinical practice and patient management.

Purpose of the Study:

  • To evaluate the effect of the 2017 hypertension reclassification on patient management in a cardiology practice.
  • To analyze changes in blood pressure control and antihypertensive medication prescriptions post-guideline shift.

Main Methods:

  • Retrospective chart review of 441 patients at a single cardiology practice.
  • Comparison of patient data from 12 months before and 12 months after November 2017.
  • Paired t-test analysis of blood pressure, medication numbers, and medication changes.

Main Results:

  • A statistically significant increase in antihypertensive medications prescribed post-reclassification (p < 0.0001).
  • Average systolic blood pressure decreased by 2.41 mmHg (p < 0.0001), while diastolic blood pressure showed no significant change (p = 0.467).
  • Average number of medications increased from 2.61 to 2.74 per patient.

Conclusions:

  • The 2017 hypertension definition change significantly influenced prescribing patterns in this cardiology practice.
  • An increase in medication prescriptions was observed, correlating with a decrease in systolic blood pressure.
  • Clinical practice requires adaptation to evolving hypertension guidelines.
Abstract

Keywords:
cardiologyguidelineshtn disordershypertensionmanagement of hypertension

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