NDLI: Trends in hypertension prevalence, treatment, and control: in a well-defined older population.

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Trends in hypertension prevalence, treatment, and control: in a well-defined older population.

Content Provider	Semantic Scholar
Author	Mullooly, John Linton, Ken
Copyright Year	1998
Abstract	To assess medical attention focused on hypertension (HBP) in the elderly, this study examines trends in HBP prevalence, treatment, and control status in a defined population of persons > or = 65 years of age enrolled in a large HMO. Random samples of approximately 400 persons were drawn for the years 1967, 1974, 1981, and 1988. First recorded ambulatory pressures, available on over 90% of subjects in each period, were obtained from medical records. Prevalence of HBP (SBP > or = 160 and/or DBP > or = 95, and/or taking anti-HBP drugs) ranged between 44% to 53%. Proportion with HBP on treatment increased from 25% in 1967 to 60% in 1988 (P<.001); proportion on treatment and controlled (SBP < 160, DBP < 95) increased from 8% to 34% (P<.001). Mean population SBP declined from 155.2 in 1967 to 144.0 in 1988 (P<.001); mean DBP declined from 85.2 to 81.2 (P<.001). Proportion with isolated systolic hypertension (ISH) (SBP > or = 160, DBP < 90) remained unchanged at 12% to 14%. Use of diuretics and adrenergic antagonist agents declined while use of beta blockers and newer classes of anti-HBP drugs increased significantly among treated hypertensives in the 1980s. These findings parallel HBP trends in younger adults from National Health Survey data though we find evidence of a substantial gap in addressing the problem in the elderly, who constitute the population at greatest risk of cardiovascular complications of HBP.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://hyper.ahajournals.org/content/hypertensionaha/31/1/552.full.pdf
Alternate Webpage(s)	http://hyper.ahajournals.org/content/hypertensionaha/31/1/552.full.pdf?download=true
PubMed reference number	9453361v1
Volume Number	31
Issue Number	1
Part	2
Journal	Hypertension
Language	English
Access Restriction	Open
Subject Keyword	Adrenergic Antagonists Adrenergic beta-Antagonists Cardiovascular Diseases Classes - encounter Diuretics Health Maintenance Organizations Hypertension, systolic Hypertensive disease
Content Type	Text
Resource Type	Article

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