(Hypertension. 1999;34:466-471.)
© 1999 American Heart Association, Inc.
Scientific Contributions |
Detection and Control of High Blood Pressure in the Community
Do We Need a Wake-Up Call?
From the Departments of Neurology (I.M., D.O.W.) and Health Sciences Research (J.P.W., W.M.O., K.R.B., D.O.W., J.L.C., J.D.S.) and the Division of Hypertension and Internal Medicine (S.G.S., G.L.S.), Mayo Clinic and Mayo Foundation, Rochester, Minn.
Abstract—At the community
level, the effect of national programs in increasing hypertension
awareness, prevention, treatment, and control is unclear. This study
evaluated the degree of detection and control of high blood pressure in
a random population-based sample of Olmsted County, Minnesota,
residents 
45 years old, of whom 636 subjects among 1245 eligible
residents agreed to participate. Home interview and home and office
measurements of blood pressure were used to estimate awareness,
treatment, and control rates for hypertension in the community. Mean
blood pressures (±SD) were 138/80±20/12 mm Hg for men and
137/76±23/11 mm Hg for women. The overall prevalence of
hypertension was 53%. The percentage of subjects with treated and
controlled hypertension was 16.6%. Thirty-nine percent of subjects
were unaware of their hypertension. Despite clinical trial evidence of
reduced morbidity and mortality with antihypertensive therapy, recently
reported national data suggest a leveling-off trend for treatment and
control of hypertension. This population-based study supports these
observations and suggests that at a community level, hypertension
awareness and blood pressure control rates are suboptimal, presumably
because of decreased attention to the detection and control of
hypertension.
Key Words: blood pressure • cerebrovascular disorders • hypertension detection and control • stroke
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