Non-adherence to medical treatment is one of the major current challenges in the control of blood pressure
We are diagnosing and treating hypertension but were unable to elevated levels of control in them.
That is the primary goal to reduce the morbidity and mortality for this silent disease
So
Why we can not achieve higher levels of control of hypertension ?
Non adherence is a full subject in itself and the reasons are wide ..even i have seen patients not taking the drug bcos she had a fight with her husband on some issue. So, the profession and the doctor is only taken seriously when one has landed up into some real health trouble.Currently i follow 140/90 mmHg in general and 160/90mmHg for 60 year and above patients.
Control by NICE definition is as follows http://www.nice.org.uk/guidance/CG127/chapter/1-Guidance#/#initiating-and-monitoring-antihypertensive-drug-treatment-including-blood-pressure-targets-2
for adults upto age 79 yrs:
Clinic BP < 140/90; daytime ambulatory BP mean or Home BP average (2 readings morning and evening x 4-7 days) < 135/85; [24 hour ambulatory BP mean < 130/80]
age 80 years +:
Clinic BP < 150/90; daytime ambulatory BP mean or Home BP average (2 readings morning and evening x 4-7 days) < 145/85; [24 hour ambulatory BP mean < 140/80]
I simply believe that normal blood pressure, i.e., < 140/90mmHg at the hospital, < 135/85mmHg by self-measurement (at home),
Thanks Dr. Farrag for your oppinion
Unfortunately in medicine what is now evidence yesterday was just conjecture
I fully agree with you
Perhaps in several years all this changed again
Thanks a lot
Recently published SPRINT trial (N= 9361) highlighted: Systolic blood pressure goal of less than 120 Vs. 140 mm Hg, resulted in lower rates of fatal and nonfatal major cardiovascular events and death from any cause. N Engl J Med. 2015 Nov 26;373(22):2103-16