Hypertension Improving Treatment and Control JUNE 2007

Hypertension Improving Treatment and Control JUNE 2007 - 1...

Info iconThis preview shows pages 1–8. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: 1 Improving Blood Pressure Treatment Improving Blood Pressure Treatment in the Community: Implications of the in the Community: Implications of the JNC7 Recommendations and ALLHAT JNC7 Recommendations and ALLHAT Results Results Nathan D. Wong, PhD, FACC Nathan D. Wong, PhD, FACC Professor and Director Professor and Director Heart Disease Prevention Program Heart Disease Prevention Program University of California, Irvine University of California, Irvine 2 Peripheral vascular disease ↑ Morbidity ↑ Disability Renal disease CAD CHF LVH Stroke Hypertension National High Blood Pressure Education Program Working Group. Arch Intern Med. 1993;153:186- 208. Hypertension: A Significant CV and Hypertension: A Significant CV and Renal Disease Risk Factor Renal Disease Risk Factor 3 Nearly 1 in 3 adults (31%) in the US has hypertension Fields LE et al. Hypertension . 2004;44:398-404. Hypertension: Hypertension: How Big Is the Problem? How Big Is the Problem? At Least 65 Million Americans Require At Least 65 Million Americans Require Treatment for Hypertension Treatment for Hypertension 4 Risk of Cardiovascular Events Risk of Cardiovascular Events by Hypertensive Status by Hypertensive Status 36-Year Follow-up in Patients Aged 35-64 36-Year Follow-up in Patients Aged 35-64 Years Years 9.5 3.3 2.4 5.0 2.0 3.5 2.1 45.4 21.3 12.4 6.2 9.9 7.3 13.9 6.3 22.7 10 20 30 40 50 Men Women Men Women Men Women Men Women Normotensive Hypertensive Coronary Disease Stroke Peripheral Arterial Disease Cardiac Failure Biennial Age-Adjusted Rate per 1,000 Reprinted with permission from Kannel WB. JAMA. 1996;275:1571-1576. 5 SBP-Associated Risks: MRFIT SBP-Associated Risks: MRFIT Adapted from Neaton JD et al. Arch Intern Med . 1992;152:56-64 . SBP versus DBP in Risk of CHD Mortality Diastolic BP (mm Hg) Systolic BP (mm Hg) CHD Death Rate 100+ 90–99 80–89 75–79 70–74 <70 <120 120–139 140–159 160+ 4 8 .3 2 .6 1 .3 1 1 .8 8 .8 8 .5 9 .2 2 3 .8 1 6 .9 1 3 . 9 1 2 .8 1 2 .6 1 1 .8 3 1 .0 2 5 .5 2 4 .6 2 5 .3 2 5 .2 2 4 .9 3 7 .4 3 4 .7 4 3 .8 3 8 .1 8 .6 <40 40-49 50-59 60-69 70-79 80+ Age (y) 17% 16% 16% 20% 20% 11% Distribution of Hypertension Subtype in the untreated Distribution of Hypertension Subtype in the untreated Hypertensive Population in NHANES III by Age Hypertensive Population in NHANES III by Age ISH (SBP ≥ 140 mm Hg and DBP <90 mm Hg) SDH (SBP ≥ 140 mm Hg and DBP ≥ 90 mm Hg) IDH (SBP <140 mm Hg and DBP ≥ 90 mm Hg) 20 40 60 80 100 Numbers at top of bars represent the overall percentage distribution of untreated hypertension by age. Franklin et al. Hypertension 2001;37: 869-874 . Frequency of hypertension subtypes in all untreated hypertensives (%) 7 Disease Relative Risk Kidney failure (ESRD) ≥ 2.8 Stroke ≥ 2.7 Heart failure ≥ 1.5 Peripheral vascular disease ≥ 1.8 Myocardial infarction* =1.6 Coronary artery disease ≥ 1.5 ESRD = end-stage renal disease; SBP ≥ 165 mm Hg....
View Full Document

This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

Page1 / 57

Hypertension Improving Treatment and Control JUNE 2007 - 1...

This preview shows document pages 1 - 8. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online