Achieving Blood Pressure Goals: Why Aren't We?
Article first published online: 31 JAN 2007
The Journal of Clinical Hypertension
Volume 8, Issue 12, pages 865–871, December 2006
How to Cite
Cushman, W. C. and Basile, J. (2006), Achieving Blood Pressure Goals: Why Aren't We?. The Journal of Clinical Hypertension, 8: 865–871. doi: 10.1111/j.1524-6175.2006.05789.x
- Issue published online: 31 JAN 2007
- Article first published online: 31 JAN 2007
- Manuscript received May 25, 2006; revised September 25, 2006; accepted September 27, 2006
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) recommends a blood pressure (BP) goal of <140/90 mm Hg in patients with hypertension and <130/80 mm Hg in those with diabetes or chronic kidney disease. Achievement of BP goals is associated with significant benefits in cardiovascular morbidity and mortality. Although evidence suggests these goals are attainable, only about one third of patients are meeting them. There is a significant gap between treatment guideline recommendations and their implementation in clinical practice. Many clinicians appear satisfied with modest BP reductions and do not make the necessary treatment adjustments to achieve BP goals. Patient nonadherence is another important reason for lack of BP control. For the success of clinical trials to be reproduced in clinical practice, clinicians must recognize the importance of treating BP to goal, emphasize to patients the need to adhere to treatments, and provide persistent, goal-targeted therapy.