Hypertension Treatment and Control in Five European Countries, Canada, and the United States

• DOI: 10.1161/01.hyp.0000103630.72812.10
• Publication Date: 2003-11-25T01:33:37Z
• Authors: Katharina Wolf-Maier; Richard S. Cooper; Holly Kramer; José R. Banegas; Simona Giampaoli; Michel R. Joffres; Neil Poulter; Paola Primatesta; Birgitta Stegmayr; Michael Thamm
• Keywords: Adult; Male; Canada; Adolescent; Middle Aged; United States; 3. Good health; Europe; 03 medical and health sciences; Cross-Sectional Studies; 0302 clinical medicine; Cardiovascular Diseases; Risk Factors; Hypertension; Prevalence; Humans; Female; Aged

Levels of hypertension treatment and control have been noted to vary between Europe North America, although direct comparisons with similar methods not undertaken. In this study, we sought estimate the relative impact strategies in Germany, Sweden, England, Spain, Italy, Canada, United States by using sample surveys conducted 1990s. Hypertension was defined as a blood pressure 160/95 mm Hg or 140/90 Hg, plus persons taking antihypertensive medication. “Controlled hypertension” less than threshold among medications. Among 35 64 years, 66% hypertensives had their controlled at compared 49% Canada 23% 38% Europe. Similar discrepancies were apparent threshold, which 29% States, 17% ≤10% European countries controlled. At cutpoint, two thirds three quarters untreated slightly half States. Although guidelines countries, resulting different case definitions, does account entirely for varying success national efforts. Low rates Europe, combined higher prevalence hypertension, could contribute burden cardiovascular disease risk attributable elevated that America.