Differential Control of Systolic and Diastolic Blood Pressure: Factors Associated With Lack of Blood Pressure Control in the Community

Data from the Third National Health and Nutrition Examination Survey, phase 2 (1991 to 1994), indicate that among hypertensive individuals in the United States, 53.6% are treated and only 27.4% are controlled to goal levels. We sought to determine whether poor hypertension control is due to lack of...

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Bibliographic Details
Published in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 2000-10, Vol.36 (4), p.594-599
Main Authors: Lloyd-Jones, Donald M, Evans, Jane C, Larson, Martin G, O’Donnell, Christopher J, Roccella, Edward J, Levy, Daniel
Format: Article
Language:English
Subjects:
Aged
Antihypertensive agents
Antihypertensive Agents - therapeutic use
Biological and medical sciences
Blood Pressure - drug effects
Blood Pressure Determination
Body Mass Index
Cardiovascular system
Cholesterol - blood
Cholesterol, HDL - blood
Cohort Studies
Comorbidity
Diabetes Mellitus - epidemiology
Diastole
Electrocardiography
Female
Health Surveys
Humans
Hypertension - blood
Hypertension - drug therapy
Hypertension - epidemiology
Hypertrophy, Left Ventricular - epidemiology
Logistic Models
Male
Medical sciences
Middle Aged
Multivariate Analysis
Odds Ratio
Pharmacology. Drug treatments
Smoking - epidemiology
Systole
Treatment Failure
United States - epidemiology
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Summary:Data from the Third National Health and Nutrition Examination Survey, phase 2 (1991 to 1994), indicate that among hypertensive individuals in the United States, 53.6% are treated and only 27.4% are controlled to goal levels. We sought to determine whether poor hypertension control is due to lack of systolic or diastolic blood pressure control, or both. We studied Framingham Heart Study participants examined between 1990 and 1995 and determined rates of control to systolic goal (
ISSN:0194-911X
1524-4563
DOI:10.1161/01.HYP.36.4.594