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Five steps to more effective treatment of hypertension in primary care
JAAPA, 09/03/09
Allen M – Hypertension is asymptomatic and requires lifelong management, which makes the disease difficult to treat. Therapeutic recommendations change periodically, and patients require individualized treatment. This is often burdensome for clinicians. Furthermore, fewer than 40% of persons with hypertension achieve target BP goals, regardless of receiving treatment. Treatment goals emphasize maximum possible reduction in total cardiovascular risk. A decrease of as little as 2 mm Hg can produce a significant reduction in risk. Health care providers should take every opportunity to check patients' BP and initiate treatment when appropriate. Lifestyle modification and fastidious BP control are the primary preventive measures for persons with hypertension who are at risk for cardiovascular events. Clinicians who assess BP properly, evaluate CVD risks and comorbidities accurately, and treat early and appropriately can save lives and ensure better quality of life for their patients.
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