Conference Coverage

VIDEO: U.S. hypertension guidelines reset threshold to 130/80 mm Hg



Team-based care essential

The guidelines also put unprecedented emphasis on using a team-based management approach, which means having nurses, nurse practitioners, pharmacists, dietitians, and other clinicians, allowing for more frequent and focused care. Dr. Whelton and others cited in particular the VA Health System and Kaiser-Permanente as operating team-based and system-driven blood pressure management programs that have resulted in control rates for more than 90% of hypertensive patients. The team-based approach is also a key in the Target:BP program that the American Heart Association and American Medical Association founded. Target:BP will be instrumental in promoting implementation of the new guidelines, Dr. Carey said. Another systems recommendation is that every patient with hypertension should have a “clear, detailed, and current evidence-based plan of care.”

“Using nurse practitioners, physician assistants, and pharmacists has been shown to improve blood pressure levels,” and health systems that use this approach have had “great success,” commented Donald M. Lloyd-Jones, MD, professor and chairman of preventive medicine at Northwestern University in Chicago and not part of the guidelines task force. Some systems have used this approach to achieve high levels of blood pressure control. Now that financial penalties and incentives from payers also exist to push for higher levels of blood pressure control, the alignment of financial and health incentives should result in big changes, Dr. Lloyd-Jones predicted in a video interview.

On Twitter @mitchelzoler


Recommended Reading

HOPE-3 wades into fray regarding optimal blood pressure targets
MDedge Cardiology
Avoid sildenafil for pulmonary hypertension after corrected valvular disease
MDedge Cardiology
Cardiogenic shock boosts PAH readmissions 10-fold
MDedge Cardiology
Young adult HIV patients may be at increased risk of hypertension
MDedge Cardiology
Low-sodium DASH benefits increase with higher blood pressures
MDedge Cardiology