© 2004 by BMJ Publishing Group & British Cardiac Society
Treating to hypertension targets
Correspondence to:
Correspondence to:
A McKerracher
St Marys Hospital, Praed Street, London W2 1NY, UK; a.mckerracher{at}imperial.ac.uk
Control of blood pressure levels in hypertensive patients often fails to meet the targets suggested by the British Hypertension Society (BHS) guidelines. The optimal treatment target for non-diabetic patients is
140/85 mm Hg. Data from the health survey for England show that in 1998 only 8% of men and 11% of women had blood pressure controlled to < 140/90 mm Hg. The Anglo-Scandinavian cardiac outcomes trial (ASCOT) data show that 87% of non-diabetic patients in the St Marys Centre are currently treated to below 140/90 mm Hg. These differences can be explained by strict protocol adherence, a focus on cardiovascular disease, longer consultation times and punctual appointments, reinforcement of non-pharmacological advice, and blood pressure readings taken in line with BHS guidelines. Some of these points might be translated into the more challenging setting of primary care.
Keywords: hypertension; coronary heart disease
Abbreviations: ASCOT, Anglo-Scandinavian cardiac outcomes trial; BHS, British Hypertension Society
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