Achieving blood pressure goals globally: five core actions for health-care professionals. A worldwide call to action.
J Hum Hypertens. 2008 Jan;22(1):63-70. Bakris G, Hill M, Mancia G, Steyn K, Black HR, Pickering T, De Geest S, Ruilope L, Giles TD, Morgan T, Kjeldsen S, Schiffrin EL, Coenen A, Mulrow P, Loh A, Mensah G. Department of Medicine, Hypertensive Diseases Center, University of Chicago, Pritzker School of Medicine, Chicago, IL 60637, USA
The prevalence of hypertension continues to rise across the world, and most patients who receive medical intervention are not adequately treated to goal. A Working Group including representatives of nine international health-care organizations was convened to review the barriers to more effective blood pressure control and propose actions to address them. The group concluded that tackling the global challenge of hypertension will require partnerships among multiple constituencies, including patients, health-care professionals, industry, media, health-care educators, health planners and governments. Additionally, health-care professionals will need to act locally with renewed impetus to improve blood pressure goal rates.
The Working Group identified five core actions, which should be rigorously implemented by practitioners and targeted by health systems throughout the world:
(1) detect and prevent high blood pressure;
(2) assess total cardiovascular risk;
(3) form an active partnership with the patient;
(4) treat hypertension to goal and
(5) create a supportive environment.
These actions should be pursued with vigour in accordance with current clinical guidelines, with the details of implementation adapted to the economic and cultural setting.