Hypertension awareness, treatment and control in the community: is the ‘rule of halves’ still valid?

Abstract

One of the cornerstones of the primary prevention of hypertensive drug treatment varied between 47% and 95% in men and between 50% and 100% in women. The cardiovascular disease has been screening and early antihypertensive drug treatment of patients with high percentage of treated hypertensives achieving an adequate BP control varied between 29% and 95% in blood pressure (BP). Nevertheless, recent population studies have shown that awareness and management of men and between 0% and 100% in women. Overall, women had a better awareness, treatment and control high BP levels are far from optimal. In this study, we performed a search for publications providing frestatus for hypertension than men, and worse in developing countries than in industrialised countries. quencies of hypertension awareness, treatment and control in different populations. In men, the frequencies Hypertension awareness, treatment and control improved with time, together with the proportion of of awareness, antihypertensive drug treatment and BP control among all hypertensive patients varied between diagnosed hypertensive patients under treatment and the proportion of well controlled among treated hyper-23% and 93%, 5% and 89% and 5% and 87%, respectively. In women, the frequencies ranged between 28% tensive patients. We conclude that although the 'rule of halves' no longer applies for screening and treatment of and 97%, 6% and 97%, and 0% and 97%, respectively. The percentage of aware hypertensives who were under hypertension in industrialised countries, it might still be valid for developing countries and for the effectiveness antihypertensive drug treatment varied between 47% and 95% in men and between 50% and 100% in women.of antihypertensive drug treatment in all countries. The percentage of hypertensives who were under anti-

Trends and social factors in blood pressure control in Scottish MONICA surveys 1986–1995: the rule of halves revisited

“…11,17 Within the UK, data for England showed an improvement of hypertension care in the community, 10 compared to earlier studies. 18,19 A recent review of 24 studies 20 suggests that the rule of halves may no longer be valid in the industrialized world, but is probably true in developing countries. Despite this there are many people in the community with poorly controlled hypertension.…”

Prevalence, awareness, treatment, and control of hypertension in the Czech Republic. Results of two nationwide cross-sectional surveys in 1997/1998 and 2000/2001, Czech Post-MONICA Study

“…27 However, there is no doubt that the fact that one-third of the population is not aware of hypertension and, consequently, not treated, contributes to the unsatisfactory overall control of hypertension. In a review by Marques-Vidal and Tuomilehto, 28 24 population surveys of hypertension awareness, treatment, and control published since 1983 were assessed. In males, the rates for hypertension awareness among hypertensive individuals varied from 23 to 93%.…”

Current status of angiotensin receptor blockers for the treatment of cardiovascular diseases: focus on telmisartan

“…[1][2][3][4][5] Despite these known devastating complications of hypertension, blood pressure control is very poor worldwide, accounting for 34% in the United States 6 to 6% in other countries. 7 The reasons for this poor control vary greatly among different countries, but it is possible that drug selection with respect to their mechanism of action and their duration of its effect can play a significant role in the control of hypertension and the prevention of its complications. Drugs with short-to-moderate duration of action, administered in the morning, do not provide an effective 24-h blood pressure control, and especially in the following day's early morning hours when the blood pressure is the highest.…”