CDC: 35 Million Americans Have Uncontrolled Hypertension 2

According to the Centers for Disease Control, new data from the National Health and Nutrition Examination Survey (NHANES) shows:

  • 30.4% of US adults (about 66.9 million people) have hypertension.
  • 53.5% have uncontrolled hypertension (about 35.8 million people).
  • 39.4% with uncontrolled hypertension (about 14.1 million) are unaware that they have hypertension.
  • 89.4% with uncontrolled hypertension have a “usual source of health care and insurance, representing a missed opportunity for hypertension control.”

The CDC authors conclude: “The findings in this report can be used to target populations and refine interventions to improve hypertension control. Improved hypertension control will require an expanded effort from patients, health-care providers, and health-care systems.”

 

 

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2 comments

  1. The so called team approach accounts for the missed diagnosis of HT on a consistent basis. Taking a BP in most institutions is relegated to the lowest level assistant’s assistant or to an automated BP cuff that consistently records low readings, fails utterly to give reliable readings. It’s when administrators make cost saving medical decisions cutting corners that real doctors would never knowingly cut.
    I speak from personal experience. I’m a teaching clinical physician but old enough to have a number of problems that take me to the doctor’s office, ER or major clinic. Including Cleveland Clinic, I have yet to have my BP properly taken and never by the attending physician.
    Assistants ignore which arm to use, take the pressure through clothing, and utterly disregard arm position.
    I submit that the physician will never know who has HT unless he or she takes the BP themselves, nor will he or she know who is under control and who is not.
    The Ophthalmologist can tell you but the assistant cannot. Relegating the BP to apothecaries, bathers and other so called providers will not help either for the same reason — nevermind an adequate HT work-up..

  2. This study:

    Diao D, Wright JM, Cundiff DK, Gueyffier F. Pharmacotherapy for mild hypertension. Cochrane Database Syst Rev2012;(8):CD006742

    Here’s the authors’ conclusions:

    Antihypertensive drugs used in the treatment of adults (primary prevention) with mild hypertension (systolic BP 140-159 mmHg and/or diastolic BP 90-99 mmHg) have not been shown to reduce mortality or morbidity [disease] in RCTs [randomised controlled trials].

    Slainte

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