RT Journal
A1 Freis ED
T1 IMproving treatment effectiveness in hypertension
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1999
FD November 22
VO 159
IS 21
SP 2517
OP 2521
DO 10.1001/archinte.159.21.2517
UL http://dx.doi.org/10.1001/archinte.159.21.2517
AB 
IT IS a disturbing fact that only 27% of patients with hypertension have their blood pressure (BP) controlled at normotensive levels.1 This has occurred despite the availability of effective antihypertensive drug treatment. It is apparent that, unless we can improve our present methods of delivering treatment and improving compliance, we will continue to leave more than two thirds of the hypertensive population with their BP uncontrolled. This article will suggest possible reasons and remedies for this poor performance. It evaluates diet treatment, drug therapy, and interventions for improving compliance and suggests changes for improvement. They are not meant to be final recommendations. Rather, the article is intended to focus concern about the subject, to suggest some possible solutions, and to open a constructive dialogue.