CDC Grand Rounds: A Public Health Approach to Detect and Control Hypertension.

Hypertension is generally defined as systolic blood pressure ≥140 mmHg, or diastolic blood pressure ≥90 mmHg. A person who currently uses blood pressure-lowering medication is also defined as having hypertension. Hypertension is a leading risk factor for cardiovascular disease and stroke (1,2). Hypertension affects nearly one third of U.S. residents aged ≥18 years (approximately 75 million persons), and in approximately one half of adults with hypertension (nearly 35 million persons), it is uncontrolled (2). Among these 35 million U.S. residents with uncontrolled hypertension, 33% (11.5 million persons) are not aware of their hypertension, 20% (7 million persons) are aware of their hypertension, but are not being treated for it, and approximately 47% (16.1 million persons) are aware of their hypertension and being treated for it, but treatment (by medication and/or lifestyle modification) is not adequately controlling their blood pressure (Figure) (2).

[1]  Donald M Berwick,et al.  The "Million Hearts" initiative--preventing heart attacks and strokes. , 2011, The New England journal of medicine.

[2]  David W. Baker,et al.  A Technology-Based Quality Innovation to Identify Undiagnosed Hypertension Among Active Primary Care Patients , 2014, The Annals of Family Medicine.

[3]  M. Wofford,et al.  Hypertension: Issues in control and resistance , 2009, Current hypertension reports.

[4]  Mark D. Huffman,et al.  Heart Disease and Stroke Statistics—2016 Update: A Report From the American Heart Association , 2016, Circulation.

[5]  Jm Lee,et al.  Prevalence, Awareness, Treatment and Control of Hypertension in Korea , 2013 .

[6]  D. Mozaffarian,et al.  Heart disease and stroke statistics--2012 update: a report from the American Heart Association. , 2012, Circulation.

[7]  M. Carroll,et al.  Hypertension Prevalence and Control Among Adults: United States, 2011-2014. , 2015, NCHS data brief.

[8]  Daniel W. Jones,et al.  Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. , 2003, Hypertension.

[9]  C. Lenfant,et al.  National High Blood Pressure Education Program. , 1986, Journal of the American Optometric Association.

[10]  Office on Smoking.  How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General , 2010 .

[11]  Stephen S. Lim,et al.  Prevalence, Awareness, Treatment, and Control of Hypertension in United States Counties, 2001–2009 , 2013, PloS one.