TY - JOUR
T1 - Proceedings From a National Heart, Lung, and Blood Institute and the Centers for Disease Control and Prevention Workshop to Control Hypertension
AU - Commodore-Mensah, Yvonne
AU - Loustalot, Fleetwood
AU - Himmelfarb, Cheryl Dennison
AU - Desvigne-Nickens, Patrice
AU - Sachdev, Vandana
AU - Bibbins-Domingo, Kirsten
AU - Clauser, Steven B.
AU - Cohen, Deborah J.
AU - Egan, Brent M.
AU - Fendrick, A. Mark
AU - Ferdinand, Keith C.
AU - Goodman, Cliff
AU - Graham, Garth N.
AU - Jaffe, Marc G.
AU - Krumholz, Harlan M.
AU - Levy, Phillip D.
AU - Mays, Glen P.
AU - Mcnellis, Robert
AU - Muntner, Paul
AU - Ogedegbe, Gbenga
AU - Milani, Richard V.
AU - Polgreen, Linnea A.
AU - Reisman, Lonny
AU - Sanchez, Eduardo J.
AU - Sperling, Laurence S.
AU - Wall, Hilary K.
AU - Whitten, Lori
AU - Wright, Jackson T.
AU - Wright, Janet S.
AU - Fine, Lawrence J.
N1 - Publisher Copyright:
© 2021 The Author(s).
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Hypertension treatment and control prevent more cardiovascular events than management of other modifiable risk factors. Although the age-adjusted proportion of US adults with controlled blood pressure (BP) defined as <140/90 mm Hg, improved from 31.8% in 1999-2000 to 48.5% in 2007-2008, it remained stable through 2013-2014 and declined to 43.7% in 2017-2018. To address the rapid decline in hypertension control, the National Heart, Lung, and Blood Institute and the Division for Heart Disease and Stroke Prevention of the Centers for Disease Control and Prevention convened a virtual workshop with multidisciplinary national experts. Also, the group sought to identify opportunities to reverse the adverse trend and further improve hypertension control. The workshop immediately preceded the Surgeon General's Call to Action to Control Hypertension, which recognized a stagnation in progress with hypertension control. The presentations and discussions included potential reasons for the decline and challenges in hypertension control, possible "big ideas,"and multisector approaches that could reverse the current trend while addressing knowledge gaps and research priorities. The broad set of "big ideas"was comprised of various activities that may improve hypertension control, including: interventions to engage patients, promotion of self-measured BP monitoring with clinical support, supporting team-based care, implementing telehealth, enhancing community-clinical linkages, advancing precision population health, developing tailored public health messaging, simplifying hypertension treatment, using process and outcomes quality metrics to foster accountability and efficiency, improving access to high-quality health care, addressing social determinants of health, supporting cardiovascular public health and research, and lowering financial barriers to hypertension control.
AB - Hypertension treatment and control prevent more cardiovascular events than management of other modifiable risk factors. Although the age-adjusted proportion of US adults with controlled blood pressure (BP) defined as <140/90 mm Hg, improved from 31.8% in 1999-2000 to 48.5% in 2007-2008, it remained stable through 2013-2014 and declined to 43.7% in 2017-2018. To address the rapid decline in hypertension control, the National Heart, Lung, and Blood Institute and the Division for Heart Disease and Stroke Prevention of the Centers for Disease Control and Prevention convened a virtual workshop with multidisciplinary national experts. Also, the group sought to identify opportunities to reverse the adverse trend and further improve hypertension control. The workshop immediately preceded the Surgeon General's Call to Action to Control Hypertension, which recognized a stagnation in progress with hypertension control. The presentations and discussions included potential reasons for the decline and challenges in hypertension control, possible "big ideas,"and multisector approaches that could reverse the current trend while addressing knowledge gaps and research priorities. The broad set of "big ideas"was comprised of various activities that may improve hypertension control, including: interventions to engage patients, promotion of self-measured BP monitoring with clinical support, supporting team-based care, implementing telehealth, enhancing community-clinical linkages, advancing precision population health, developing tailored public health messaging, simplifying hypertension treatment, using process and outcomes quality metrics to foster accountability and efficiency, improving access to high-quality health care, addressing social determinants of health, supporting cardiovascular public health and research, and lowering financial barriers to hypertension control.
KW - blood pressure
KW - cardiovascular disease
KW - hypertension
KW - prevention
KW - screening
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U2 - 10.1093/ajh/hpab182
DO - 10.1093/ajh/hpab182
M3 - Article
C2 - 35259237
AN - SCOPUS:85126080456
SN - 0895-7061
VL - 35
SP - 232
EP - 243
JO - American Journal of Hypertension
JF - American Journal of Hypertension
IS - 3
ER -