Sept. 9, 2020, 9:50 PM UTC/Updated Sept. 10, 2020, 3:03 PM UTC
An alarming new study finds that a growing percentage of Americans have uncontrolled high blood pressure, more evidence that the nation is losing ground in the fight against heart disease. Hypertension, often called the "silent killer," is also one of the major risks for severe illness from COVID-19.
An analysis of data from more than 18,000 patients with high blood pressure found that the proportion with uncontrolled hypertension had increased by 10 percent in 2017-18, compared to 2013 to 2014, according to the report published Wednesday in JAMA.
These were sobering conclusions, said the studys lead author, epidemiologist Paul Muntner, dean of research at the University of Alabama at Birmingham. I was surprised. But at the same time there were indications we saw that align with these data.
An earlier study found that many patients were not being prescribed blood pressure-lowering medications according to guidelines. Many who had uncontrolled hypertension were being treated with a single drug rather than a combination of medications, which can be more effective in lowering blood pressure, Muntner said.
To take a closer look at how well hypertension was being addressed in America, Muntner and colleagues turned to the U.S. National Health and Nutrition Examination Survey (NHANES), which has been collecting health data every two years for the last two decades.
The researchers considered hypertension to be under control if:
Those figures are lower than whats called for in the most recent guidelines, which say people should aim for 130 over 80.
Of the 18,262 adults diagnosed with hypertension, the proportion with blood pressure under control increased from 31.8 percent in 1999-2000 to 48.5 percent in 2007-08 and remained stable for a number of years. In 2013-14, the proportion with controlled hypertension rose to 53.8 percent.
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Then, the proportion of Americans with blood pressure under control declined drastically to just 43.7 percent in 2017-18. When the researchers reanalyzed their data using the new guidelines of 130/80 mm Hg, they found just 19 percent of Americans with hypertension had their blood pressure under control.
One of the biggest factors relating to whether blood pressure was controlled was whether a person had seen a health care provider in the past year: Those who had were five times more likely to have blood pressure controlled compared to those who had not.
More than 100 million Americans have high blood pressure, according to the American Heart Association. Uncontrolled hypertension is the single most significant risk factor for cardiovascular problems such as heart attacks and strokes, experts said. Its even more dangerous because when a patient has uncontrolled high blood pressure, COVID-19 is more likely to be fatal or lead to serious complications.
Since being diagnosed with hypertension 10 years ago, Jonathan Taylor of New York City had been maintaining his blood pressure with medication and exercise. But pandemic stress caused some fluctuations. Taylor, a 60-year-old tennis professional, didn't realize his condition put him at risk when he first developed COVID-19 in March.
"I'm generally someone who is healthy," Taylor said. "I seem younger than my age to other people because I've always been fit."
At first, his blood pressure was up and down and he felt weak and light-headed. Then, he developed chest pain, body aches, headaches and very low grade fever. After several days, he realized he was in trouble and called an ambulance. He was eventually hospitalized for about 11 days at Northwell Healths North Shore University Hospital and on oxygen.
"Boy, did this thing kind of sneak up on me," Taylor said. "That's really scary because, overall, my health was quite good. And then to get so sick so quickly."
Taylor is now home, back on his blood pressure medication and more health conscious than ever.
"It's been a long recovery, but I'm doing quite well," he said.
The Centers for Disease Control and Prevention estimates that people with hypertension are three times more likely to be hospitalized if they are infected with the coronavirus, compared to those who dont have high blood pressure. And a study published in April in JAMA found that hypertension was one of the biggest predictors of severe illness and death from COVID-19, along with diabetes and obesity.
We know that with COVID-19 cardiovascular risk factors increase the risk of complications, Dr. Luke Laffin, a cardiologist at the Cleveland Clinic, said. So controlling hypertension is very important.
People need to have their blood pressure checked at least once a year and with many patients avoiding hospitals and doctors' offices because of COVID-19 fears, those numbers could get worse.
"Theres been a big push particularly in the last three years, for people to monitor their own blood pressure at home," said Laffin. "Its not good enough, particularly with individuals with hypertension, to just get your blood pressure checked at the [doctors] office.
The new findings fall in line with other recent studies showing that the U.S. is losing ground against heart disease, said Dr. Matthew Muldoon, a professor of medicine at the University of Pittsburgh School of Medicine and director of the UPMC Hypertension Center.
This new data is consistent with the reversal of our gains in fighting cardiovascular disease, Muldoon said. Heart disease, cardiovascular events and mortalities stopped going down and started going up. So were losing ground.
Dr. Erin Michos, a cardiologist at the Johns Hopkins School of Medicine, said the new data parallels a rise in obesity and diabetes in the U.S.
Obesity, high blood pressure and diabetes are all associated with a sedentary lifestyle and poor dietary intake, Michos said. Our health in the U.S. is getting worse, she said.
The rest is here:
Uncontrolled hypertension is getting worse in the U.S., study finds - NBC News
- Hypertension: Practice Essentials, Background, Pathophysiology - Medscape Reference - April 10th, 2018 [April 10th, 2018]
- High blood pressure (hypertension) - Symptoms and causes ... - May 18th, 2018 [May 18th, 2018]
- 10 Causes of Hypertension - A Diet High In Salt Content - June 21st, 2018 [June 21st, 2018]
- Homeopathy Hypertension Remedies | High Blood Pressure ... - July 5th, 2018 [July 5th, 2018]
- European Society of Hypertension - July 7th, 2018 [July 7th, 2018]
- List of High Blood Pressure (Hypertension) Medications (259 ... - July 26th, 2018 [July 26th, 2018]
- Hypertension (High Blood Pressure) Charts, Symptoms, Diet ... - September 2nd, 2018 [September 2nd, 2018]
- Vitamin D and hypertension - September 8th, 2018 [September 8th, 2018]
- 2014 Guideline for Management of High Blood Pressure - September 29th, 2018 [September 29th, 2018]
- Essential hypertension - Wikipedia - September 30th, 2018 [September 30th, 2018]
- Hypertension Treatment & Drugs | Hypertension Causes ... - September 30th, 2018 [September 30th, 2018]
- Hypertension (High Blood Pressure) - October 13th, 2018 [October 13th, 2018]
- Hypotension - Wikipedia - October 30th, 2018 [October 30th, 2018]
- Hypertension | pathology | Britannica.com - October 30th, 2018 [October 30th, 2018]
- Hypertension | Cornell University College of Veterinary Medicine - November 10th, 2018 [November 10th, 2018]
- 2014 Guideline for Management of High Blood Pressure - JAMA - November 18th, 2018 [November 18th, 2018]
- Pharmacologic Treatment of Hypertension in Adults | Annals ... - November 18th, 2018 [November 18th, 2018]
- 10 Causes of Hypertension - High In Salt Consumption - November 29th, 2018 [November 29th, 2018]
- High blood pressure (hypertension) - Diagnosis and treatment ... - November 29th, 2018 [November 29th, 2018]
- High Blood Pressure Symptoms - Hypertension Symptoms - December 9th, 2018 [December 9th, 2018]
- Hypertension - Medscape Reference - December 21st, 2018 [December 21st, 2018]
- Hypertension - Lab Tests Online - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure (Hypertension): Symptoms ... - OnHealth - December 21st, 2018 [December 21st, 2018]
- High Blood Pressure | Hypertension | MedlinePlus - December 27th, 2018 [December 27th, 2018]
- Hypertension - Wikipedia - December 27th, 2018 [December 27th, 2018]
- Hypertension: Causes and Risk Factors - verywellhealth.com - January 1st, 2019 [January 1st, 2019]
- Hypertension - Genetics Home Reference - NIH - January 20th, 2019 [January 20th, 2019]
- Hypertension: Nursing Care Management and Study Guide - April 7th, 2019 [April 7th, 2019]
- High blood pressure (hypertension) Disease Reference Guide ... - April 7th, 2019 [April 7th, 2019]
- Pulmonary hypertension - Symptoms and causes - Mayo Clinic - September 14th, 2019 [September 14th, 2019]
- Incident Hypertension Associated With Continuous NSAID Use in Ankylosing Spondylitis - Rheumatology Advisor - October 12th, 2019 [October 12th, 2019]
- The innovative new ways scientists are tackling high blood pressure - Noted - October 12th, 2019 [October 12th, 2019]
- If You Have High Blood Pressure, You May Be at Higher Risk for This Cancer - msnNOW - October 12th, 2019 [October 12th, 2019]
- MODERATO II Study: Cardiac Neuromodulation Significantly Reduces Systolic Blood Pressure - Diagnostic and Interventional Cardiology - October 12th, 2019 [October 12th, 2019]
- Kidney-heart connection is focus of upcoming HealthyLife seminar - Times Union - October 12th, 2019 [October 12th, 2019]
- High blood pressure: Six foods proven to lower your reading - Express - October 14th, 2019 [October 14th, 2019]
- Sepetaprost Effective and Safe in Glaucoma, Ocular Hypertension - Monthly Prescribing Reference - October 14th, 2019 [October 14th, 2019]
- India, Stressed: More than Half of Commuters in Metro Cities Likely to Commit Road Rage - News18 - October 17th, 2019 [October 17th, 2019]
- University College London Awarded 1M to Advance Heart, PH Research Using Computational Biology - Pulmonary Hypertension News - October 17th, 2019 [October 17th, 2019]
- One in 10 children on the verge of heart attack risk - The New Daily - October 17th, 2019 [October 17th, 2019]
- Healthy living: Salt and hypertension - Forbes India - October 17th, 2019 [October 17th, 2019]
- The global blood pressure (BP) monitoring devices market size is expected to reach USD 2.47 billion by 2026 - GlobeNewswire - October 17th, 2019 [October 17th, 2019]
- Vitamin D Deficiency And Hypertension: Is There A Relation Between Low Levels Of Vitamin D And High Blood Pressure? - NDTV News - October 17th, 2019 [October 17th, 2019]
- Hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- Health: Worrying rise of hypertension in Indians - Forbes India - October 17th, 2019 [October 17th, 2019]
- More than 1100 health care organizations earn BP-control honor - American Medical Association - October 17th, 2019 [October 17th, 2019]
- Medication Adherence In Patients With Arterial Hypertension: The Relat | PPA - Dove Medical Press - October 17th, 2019 [October 17th, 2019]
- High levels of stress increase hypertension risk in black individuals - Healio - October 17th, 2019 [October 17th, 2019]
- Dapagliflozin Receives FDA Approval for Reducing Heart Failure Hospitalization Risk - Endocrinology Advisor - October 23rd, 2019 [October 23rd, 2019]
- Death of Clay County inmate prompts change in housing for inmates with specific medical needs - FirstCoastNews.com WTLV-WJXX - October 23rd, 2019 [October 23rd, 2019]
- New OPSUMIT (macitentan) Data Show Initial Combination Therapy with Tadalafil Improved Hemodynamic Clinical and Functional Parameters in Patients with... - October 23rd, 2019 [October 23rd, 2019]
- High Blood Pressure: Why salt is considered a harbinger of hypertension? - PINKVILLA - October 23rd, 2019 [October 23rd, 2019]
- Chronic Stress in African-Americans Linked to Hypertension - TCTMD - October 23rd, 2019 [October 23rd, 2019]
- Why all the fuss around hypertension? - Firstpost - October 23rd, 2019 [October 23rd, 2019]
- Study explores why Caribbean adults have higher hypertension rates - Yale News - October 23rd, 2019 [October 23rd, 2019]
- Hypertension in adults: summary of updated NICE guidance - The BMJ - October 23rd, 2019 [October 23rd, 2019]
- Diabetes, blood pressure and cancer cases are rising rapidly in India - Times of India - November 2nd, 2019 [November 2nd, 2019]
- Is there a link between breastfeeding and diabetes - Medical News Bulletin - November 2nd, 2019 [November 2nd, 2019]
- High Blood Pressure: Lower hypertension by eating less of these food groups - PINKVILLA - November 2nd, 2019 [November 2nd, 2019]
- Chronic high blood pressure in pregnant women on the rise - MahoningMatters.com - November 2nd, 2019 [November 2nd, 2019]
- Unhealthy Lifestyle and Indian Ethnicity Tied to Hypertension - Forbes India - November 2nd, 2019 [November 2nd, 2019]
- Cardio Round-up: Walkability and CVD; Pollution and Stroke; and More - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- Hypertension Tied to Over One-Third of Population-Attributable CVD Risk in U.S. Black Adults - DocWire News - November 2nd, 2019 [November 2nd, 2019]
- This Is What Makes Oats Idli An Ideal Breakfast For A High Blood Pressure Diet - NDTV Food - November 11th, 2019 [November 11th, 2019]
- Global Idiopathic Intracranial Hypertension Therapeutics Market 2019-2023 | Evolving Opportunities with AbbVie Inc. and Astellas Pharma Inc. |... - November 11th, 2019 [November 11th, 2019]
- Severe Hypertension Common in aHUS Patients and Soliris Effective at Treating Them, Study Finds - aHUS News - November 11th, 2019 [November 11th, 2019]
- Overhydration Is a Risk Factor for Post-Dialysis Hypertension - Renal and Urology News - November 11th, 2019 [November 11th, 2019]
- In AS, Hypertension Risk Linked to Continuous NSAID Use, Study Says - Ankylosing Spondylitis News - November 11th, 2019 [November 11th, 2019]
- Physicians, Patient Discuss Intentional Nonadherence in Hypertension Therapy - AJMC.com Managed Markets Network - November 11th, 2019 [November 11th, 2019]
- More than 50,000 suffer from diabetes, nearly a lakh from hypertension - The Indian Express - November 14th, 2019 [November 14th, 2019]
- Cause of John Witherspoons untimely death revealed - TheGrio - November 14th, 2019 [November 14th, 2019]
- This Hyderabad-based Start-up is Helping Corporates Improve the Health of their Employees - Entrepreneur - November 14th, 2019 [November 14th, 2019]
- ER visits jumped after valsartan blood pressure medication recall, study says - CBC.ca - November 14th, 2019 [November 14th, 2019]
- The ALK-1/SMAD/ATOH8 axis attenuates hypoxic responses and protects against the development of pulmonary arterial hypertension - Science - November 14th, 2019 [November 14th, 2019]
- Health screenings given to raise awareness at West Philly barbershop - The Philadelphia Tribune - November 14th, 2019 [November 14th, 2019]
- Blood pressure monitoring must be a part of a diabetic's routine - Gulf News - November 14th, 2019 [November 14th, 2019]
- Early Warning Signs of CKD Going Unnoticed in Veterans, Especially Those With Hypertension - AJMC.com Managed Markets Network - November 14th, 2019 [November 14th, 2019]
- The Epidemic of Hypertension and Vulnerability of Indians - Forbes India - November 14th, 2019 [November 14th, 2019]
- Knowing the facts: Hypertension vis-a-vis Lifestyle - Forbes India - November 14th, 2019 [November 14th, 2019]
- Heart hormones that affect development of diabetes, hypertension differ in African Americans and whites - UAB News - November 14th, 2019 [November 14th, 2019]