Prevention and Control of Hypertension: JACC Health Promotion Series.

Published

Journal Article (Review)

Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potassium, insufficient physical activity, and consumption of alcohol. Prevention and control of hypertension can be achieved through targeted and/or population-based strategies. For control of hypertension, the targeted strategy involves interventions to increase awareness, treatment, and control in individuals. Corresponding population-based strategies involve interventions designed to achieve a small reduction in blood pressure (BP) in the entire population. Having a usual source of care, optimizing adherence, and minimizing therapeutic inertia are associated with higher rates of BP control. The Chronic Care Model, a collaborative partnership among the patient, provider, and health system, incorporates a multilevel approach for control of hypertension. Optimizing the prevention, recognition, and care of hypertension requires a paradigm shift to team-based care and the use of strategies known to control BP.

Full Text

Duke Authors

Cited Authors

  • Carey, RM; Muntner, P; Bosworth, HB; Whelton, PK

Published Date

  • September 11, 2018

Published In

Volume / Issue

  • 72 / 11

Start / End Page

  • 1278 - 1293

PubMed ID

  • 30190007

Pubmed Central ID

  • 30190007

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2018.07.008

Language

  • eng

Conference Location

  • United States