Paul Muntner i wsp. Trends in Blood Pressure Control Among US Adults With Hypertension, 1999-2000 to 2017-2018. JAMA 2020 online (dostępny pełen tekst)
Among the 18 262 adults with hypertension, the age-adjusted estimated proportion with controlled BP increased from 31.8% in 1999-2000 to 48.5% in 2007-2008, remained stable and was 53.8% in 2013-2014, and then declined to 43.7% in 2017-2018.
The decrease in BP control that was present among adults in the current study from 2013-2014 through 2017-2018 was predicted by 5 authors of the JNC 8 report, who noted the higher BP goal in JNC 8 vs JNC 7 would result in reduced intensity of antihy-pertensive medication use.
With a higher proportion of adults taking antihypertensive medication and more intensive treatment recommended for those with hypertension, the implementation of the 2017 ACC/AHA BP guideline could result in increasing hypertension awareness, antihypertensive medication use, and BP control.
JAMA, 9 września 2020