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November 22, 1999

Improving Treatment Effectiveness in Hypertension

Author Affiliations

From the Department of Veterans Affairs, Veterans Affairs Medical Center, and Georgetown University School of Medicine, Washington, DC.

Arch Intern Med. 1999;159(21):2517-2521. doi:10.1001/archinte.159.21.2517

IT IS a disturbing fact that only 27% of patients with hypertension have their blood pressure (BP) controlled at normotensive levels.1 This has occurred despite the availability of effective antihypertensive drug treatment. It is apparent that, unless we can improve our present methods of delivering treatment and improving compliance, we will continue to leave more than two thirds of the hypertensive population with their BP uncontrolled. This article will suggest possible reasons and remedies for this poor performance. It evaluates diet treatment, drug therapy, and interventions for improving compliance and suggests changes for improvement. They are not meant to be final recommendations. Rather, the article is intended to focus concern about the subject, to suggest some possible solutions, and to open a constructive dialogue.

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