New study in NEJM provide further support for more aggressive blood pressure control. The prevention of stroke would be enough for me.
There are few recent advances in medicine that delivers such big population health gains as blood pressure treatment.
nejm.org/doi/full/10.10…
There are few recent advances in medicine that delivers such big population health gains as blood pressure treatment.
nejm.org/doi/full/10.10…
Julian Tudor Hart famously emphasized the critical importance of blood pressure control on the population level, noting the "rule of threes" - a third didn't know they had high blood pressure, a third knew but wasn't treated, and a third was treated but not controlled.
He personally measured the blood pressure of every person in the Welsh community he was responsible for, and his control of BP may have contributed different mortality trajectories in his vs. neighboring communities.
pubmed.ncbi.nlm.nih.gov/4193685/
pubmed.ncbi.nlm.nih.gov/4193685/
Yet, meanwhile, in the US — the country with the highest medical spending on the globe — we've actually seen a deterioration in the control of blood pressure in 2013 - 2018!
jamanetwork.com/journals/jama/…
jamanetwork.com/journals/jama/…
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