Hypertension in primary and secondary prevention of CVD

Abstract

Hypertension is a major risk factor in the development of coronary heart disease (CHD) and remains part of the longer-term management of those with established pathology. However, despite current UK primary prevention of cardiovascular disease (CVD) initiatives, optimal detection of hypertension and blood pressure (BP) management are a challenge. Mention of BP management in national guidelines for CHD care is brief. Evidence suggests though that improved outcomes follow optimal hypertension management in secondary prevention. This article outlines the role of BP in development of CHD and illustrate BP targets and current issues in BP management, while the question is asked whether there is a nursing role within primary and secondary prevention.