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Treating to hypertension targets
  1. A McKerracher
  1. Correspondence to:
    A McKerracher
    St Mary’s Hospital, Praed Street, London W2 1NY, 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 Mary’s 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.

  • hypertension
  • coronary heart disease
  • ASCOT, Anglo-Scandinavian cardiac outcomes trial
  • BHS, British Hypertension Society

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