The latest Western guidelines increased target blood pressure to 140/90 mmHg for
patients at high risk of cardiovascular disease and renal failure, but this may be too high for Asian populations warn, the authors.
Not exact matches
Among
patients with hypertension
at high risk of cardiovascular disease, a program that consisted
of patients measuring their blood pressure and adjusting their antihypertensive medication accordingly resulted in lower systolic blood pressure
at 12 months compared to
patients who received usual care, according to a study in the August 27 issue
of JAMA.
Similarly, only half
of the
patients with OSA were categorized as being
at high risk for OSA on the Berlin Questionnaire, a sleep apnea screening tool, suggesting that these validated tools in the general population may not be useful for
patients with
cardiovascular diseases.
A phase 2 clinical trial recruited 497
patients with
high cholesterol, 73 percent
of which were already taking statins, the current standard treatment for those
at risk of cardiovascular disease.
Zachary T. Bloomgarden, MD, an endocrinologist
at Mount Sinai School
of Medicine in New York City who specializes in diabetes, prescribes these drugs to most
of his
patients, particularly those with hypertension,
cardiovascular disease, or
risk factors for heart
disease, such as
high cholesterol.
Queensland Aboriginal and Islander Health Council (QAIHC) data show good performance in
risk factor monitoring and the management
of hypertension and chronic
disease.15 Box 2 shows improving performance in completion
of health assessments — a first step in prevention activity — over the past 4 years.22 The Torpedo study, a randomised controlled trial
of the use
of an electronic decision - support system measuring absolute
cardiovascular risk, shows ACCHSs outperforming general practices in managing
risk.21 Data collected in late 2011 show that the ACCHSs sites had significantly more
patients at high risk being prescribed best - practice medications than the general practice sites
at baseline, and this gap was sustained through the intervention period (Box 3).23