Download e-book for kindle: A Population-Based Policy and Systems Change Approach to by Institute of Medicine, Board on Population Health and Public

By Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population

High blood pressure is among the top motives of dying within the usa, affecting approximately one in 3 americans. it truly is wide-spread in adults and endemic within the older grownup inhabitants. high blood pressure is a big contributor to cardiovascular morbidity and incapacity. even supposing there's a basic attempt to diagnose high blood pressure and comparatively low-cost medicinal drugs to regard it, the sickness is usually undiagnosed and out of control. A Population-Based coverage and platforms switch method of the Prevention and keep an eye on high blood pressure identifies a small set of high-priority components within which public well-being officers can concentration their efforts to speed up development in high blood pressure aid and regulate. It deals a number of strategies that include a population-based method grounded within the rules of dimension, approach switch, and responsibility. The strategies are designed to shift present high blood pressure aid thoughts from an individual-based method of a population-based method. also they are designed to enhance the standard of care supplied to people with high blood pressure and to bolster the heart for disorder keep an eye on and Prevention's management in looking a discount within the sodium consumption within the American nutrition to satisfy nutritional guidance. The booklet is a crucial source for federal public overall healthiness officers and corporations, specifically the heart for affliction keep an eye on and Prevention, in addition to doctors and neighborhood medical experts.

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Extra info for A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension

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R. Berndt, J. Royer, A. A. Fournier, A. Sasser, and P. Cremieux. 2007. The value of antihypertensive drugs: A perspective on medical innovation. Health Affairs 26(1):97-110. , and A. Bedroussian. 2007. An unhealthy America: The economic burden of chronic disease. Santa Monica, CA: Milken Institute. Fields, L. , V. L. Burt, J. A. Cutler, J. Hughes, E. J. Roccella, and P. Sorlie. 2004. The burden of adult hypertension in the United States 1999 to 2000: A rising tide. Hypertension 44(4):398-404. Fihn, S.

2002). More importantly, hypertension is highly preventable through a decrease in obesity, increase in physical activity, and improved diet (particularly through reduced sodium and increases in fruit and vegetable consumption). Moreover, since poor diet, physical inactivity, and obesity appear to be on the increase, reductions in these risk factors takes on even greater importance. Finally, hypertension is costly to the healthcare system. , 2003), and it contributes to the costs of cardiovascular disease (coronary heart disease, myocardial infarction) and stroke.

Hypertension is estimated to contribute to 35 percent of myocardial infarctions and strokes and 49 percent of episodes of heart failure (AHRQ, 2007). Hypertension is diagnosed by a simple test. Using a sphygmomanometer, blood pressure is typically measured at two points: at peak pressure when the heart is most contracted (this point is referred to as systolic blood pressure) and then when the heart is most relaxed (diastolic pressure). High blood pressure for adults is defined as a systolic pressure of 140 mm Hg or greater or a diastolic pressure of 90 mm Hg or greater or using antihypertensive medication.

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