PREVENTIVE MEDICINE and HEALTH PROMOTION Hypertension

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Preventive Medicine & Health Promotion: Fourth Year Elective
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HYPERTENSION

Epidemiology

Cost Burden

The financial burden of hypertension is estimated at 37 billion each year, with antihypertensive medications contributing approximately 15.5 billion per year.

Heart disease and stroke, the first and third leading causes of death and disability, and for which hypertension is a major risk factor, pose a financial burden of approximately $259 billion in direct and indirect costs.

In one study, An Economic Evaluation of the JNC Hypertension Guidelines Using Data from a Randomized Controlled Trial, the management of hypertension including drug therapy, monitoring for and treating side effects, compliance, and the costs of switching after therapeutic failures resulted in the following costs for initial treatment and control of hypertension per patient (first year cost of therapy):

Chlorthalidone, $641

Acebutolol, $920

Amlodipine, $946

Enalapril, $948