Reprint of: Prevention and Control of Hypertension: JACC Health Promotion Series.
Journal Article (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
- December 11, 2018
Published In
Volume / Issue
- 72 / 23 Pt B
Start / End Page
- 2996 - 3011
PubMed ID
- 30522633
Electronic International Standard Serial Number (EISSN)
- 1558-3597
Digital Object Identifier (DOI)
- 10.1016/j.jacc.2018.10.022
Language
- eng
Conference Location
- United States