Blood pressures from a 1980-1981 survey of 1,656 adults in Minneapolis-St Paul were compared with BPs from a similar community survey of 3,475 adults conducted in 1973-1974. Mean age-adjusted BPs in 1980-1981 were 3 mm Hg lower for men and 2 mm Hg lower for women than in 1973-1974. Hypertension prevalence, defined as diastolic BP of 95 mm Hg or greater and/or use of antihypertensive medication, was essentially unchanged. In 1973-1974, however, only 40.4% of hypertensive persons had adequately controlled BPs, 13.7% were treated but had conditions that were uncontrolled, 20.4% had known hypertension but were untreated, and 25.5% had previously undetected hypertension. In 1980-1981, the respective percentages were 76.1%, 8.5%, 8.8% and 6.6%. These impressive changes in hypertension detection and control may have contributed to the recent decline in cardiovascular disease mortality in this community.
Folsom AR, Luepker RV, Gillum RF, et al. Improvement in Hypertension Detection and Control From 1973-1974 to 1980-1981: The Minnesota Heart Survey Experience. JAMA. 1983;250(7):916–921. doi:10.1001/jama.1983.03340070022020
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: