Hypertension Detection and Compliance: Permanent Site Hypertensive Evaluation -- A New Method of Increasing Patient Compliance

Hutchison, James C.
August 1979
Angiology;Aug1979, Vol. 30 Issue 8, p568
Academic Journal
Screening is successful in detecting hypertension, but reducing morbidity and mortality depends on achieving patient compliance. Cardiovascular disease has declined significantly since the thiazide diuretics have become generally available and provided effective and safe treatment of hypertension. More people are now aware of their blood pressure, and more hypertensive people are under treatment than ever before. Unfortunately many are not being treated�or if treated, they are not receiving adequate therapy. After several years of experimentation in screening, the concept of permanent site hypertension evaluation with an automatic recording device was instituted in a pharmacy. Detection during the first year in 926 people revealed that 51% were hypertensives. There were 17% with mild hypertension, 9% with moderate hypertension, and 25% under treatment. Those under treatment were assumed to be hypertensive-normal being considered 140/90, and hypertensive 160/100. Those between were considered mild hypertensives. After the second year, 1726 people had been screened and hypertension was detected in 48%; 18% had mild hypertension, 10% had more severe hypertension, and 20% were being treated. Compliance was measured in two groups of patients. Short-term compliance (up to 6 months) was measured in 441 patient revisits: initially 16% were normotensive, but on revisit after 6 months, 37% were normotensive�a reduction in mild hypertension from 52% to 33%. Long-term compliance (6 months to 2 years) was measured in 402 patient revisits: initially 19% were normotensive, and on revisit 32%�an increase in compliance with a reduction from 48% to 35% in mild hypertension. A new method, permanent site hypertension evaluation with patient revisits, is suggested as a new way of increasing patient compliance. The presence of normotension is assumed to mean compliance. The easy availability of permanent sites may induce the patient to return regularly, or the patient may be testing the medication or his physician. Whatever the case, normotension is the aim of compliance.


Related Articles

  • The new contract: hypertension. Kirby, Mike; Keir, Peter // GP: General Practitioner;11/10/2003, p61 

    The pathogenesis of hypertension is multifactorial, and is partly explained by the combined effects of multiple genes and the environment. The familial tendency for hypertension emphasizes this. Changes in diet compared with that of our ancestors, such as salt intake, may be relevant. Relative...

  • AIDS IN THE DIAGNOSIS OF HYPERTENSION. Vertes, Victor // Angiology;Aug1977, Vol. 28 Issue 8, p545 

    Describes a revised approach to the diagnosis of hypertension. Overview of the angiotensin-aldosterone (RAA) feedback mechanism; Examples of disruption of the RAA system; Application of the RAA system to primary aldosteronism and renovascular hypertension; Relationship between RAA system and...

  • What is the initial work-up in the diagnosis of hypertension? Daniel, Brett V.; Jankowski, Terry Ann // Journal of Family Practice;Sep2005, Vol. 54 Issue 9, p809 

    This article examines the initial work-up in the diagnosis of hypertension. Patients with a new diagnosis of hypertension should be evaluated with a history and physical exam and the following initial studies: serum potassium and creatinine, fasting serum glucose and lipid panel, hematocrit,...

  • Not all recommendations for working-up hypertensive patients are cost-effective. Daniel, Brett V.; Kelsberg, Gary; Jankowski, Terry Ann // Journal of Family Practice;Sep2005, Vol. 54 Issue 9, p809 

    This article comments that not all recommendations for working-up hypertensive patients are cost-effective. There is obvious enthusiasm among the expert panels for a detailed work-up of patients with hypertension. Annual urine dipstick testing beginning at age 30 for hypertensive patients is...

  • RENAL LESIONS IN ESSENTIAL HYPERTENSION. Salomon, Mardoqueo I.; Narasimhax, P.; Obloll, William B.; Bruno, Michael S. // Angiology;May1962, Vol. 13 Issue 5, p216 

    Twenty-seven adults with long-standing hypertension were submitted to percutaneous renal biopsy. All but two had nephrosclerosis, varying from mild to severe in degree. There was no exact correlation between the clinical parameters of dysfunction and and the severity of the nephropathy.

  • Study warns of danger of treating raised BP alone.  // Pulse;8/10/2006, Vol. 66 Issue 31, p11 

    The article reports on the possible overtreatment of hypertension diagnosed on the basis of blood pressure measurement alone specially in younger patients. General practitioners should instead base decisions about treatment on cardiovascular risk assessments. Hypertension should only be treated...

  • CLINICAL CHARTS: EVALUATION OF HYPERTENSION.  // Monthly Prescribing Reference;Jan2012, Vol. 28 Issue 1, p6 

    The article presents information on how to evaluate hypertension. It states that for the diagnosis of hypertension laboratory tests such as urinalysis, blood glucose, hematocrit and lipid panel, and few other test are necessary. It states that assess for major cardiovascular disease (CVD) risk...

  • Isolated ambulatory hypertension and changes in target organ damage in treated hypertensive patients. Cuspidi, C.; Meani, S.; Fusi, V.; Valerio, C.; Catini, E.; Magrini, F.; Zanchetti, A. // Journal of Human Hypertension;Jun2005, Vol. 19 Issue 6, p471 

    Isolated ambulatory hypertension is a condition characterized by elevated ambulatory but normal clinic blood pressure (BP), and has been reported to be associated with increased cardiovascular risk in untreated subjects. However, little is known about the relationship between this condition and...

  • Hypertension management in Canada: good news, but important challenges remain. Mohan, Sailesh; Campbell, Norm R. C. // CMAJ: Canadian Medical Association Journal;5/20/2008, Vol. 178 Issue 11, p1458 

    The article presents a commentary on the three papers on hypertension management in Ontario published within the issue. According to the author, these papers bring evidence of marked improvements in the diagnosis and treatment of hypertension in Ontario. He opines that the findings will have a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics