High blood pressure levels can be controlled in patients with a novel multilevel, multicomponent approach that has physician- and non-physician-led interventions, reveals a new study.
The findings from a comparative effectiveness review are published in Annals of Internal Medicine.
Hypertension is the leading risk factor for cardiovascular disease. Despite strong evidence that antihypertensive medications and lifestyle modifications reduce blood pressure and subsequent morbidity and mortality from cardiovascular disease, hypertension control rates hover between 25 and 40 percent, a rate that has remain unchanged for the past 40 years. As such, strategies are needed to increase control rates.
Patient-level strategies resulted in systolic blood pressure reductions of around 4 mm Hg for health coaching and 3 mm Hg for home blood pressure monitoring.
Trends were similar for diastolic blood pressure reduction.
According to the researchers, these findings provide evidence that multilevel, multicomponent implementation strategies are most useful and should be recommended in clinical practice and public health policy for hypertension control in communities.