JNC VI Goals for BP Control²⁷

• Reduction in blood pressure to <140/90 for individuals with essential hypertension*. 

^»         Goal achieved: 27%

* Essential hypertension: Primary hypertension.  Without an identified cause.
 

Table 3. 

NHANES - Trends in Awareness, Treatment, and Control of High Blood Pressure in Adults Ages 18 – 74*²⁸

* High blood pressure is systolic blood pressure (SBP) ³140mm Hg or diastolic blood pressure (DBP) ³90 mm Hg or taking antihypertensive medication.

†SBP <140 mm Hg and DBP < 90 mm Hg

These increases in awareness, treatment and control of hypertension has led to a decrease in the age adjusted death rates from stroke by 60%²⁹and from coronary heart disease by 53%³⁰

The benefits are particularly striking in women >50yrs

However, since 1993…

• Age adjusted stroke rates have risen slightly
   
• Changes in age adjusted coronary heart disease levels have not declined
   
• ESRD and heart failure have increased.

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