Key result
Applying the new lower BP target increases the uncontrolled hypertension rate to ~74%.
Why the study?
New hypertension guidelines lowered BP targets to below or equal to 130/80 mmHg in patients younger than 65, motivating an evaluation of changes in the proportion of uncontrolled BP cases.
Does applying a lower blood pressure target (≤130/80 mmHg) increase the proportion of uncontrolled hypertensive patients, and what factors are associated with uncontrolled disease?
Population
248 hypertensive patients visiting an outpatient clinic in Thailand
Comparison
Controlled BP vs newly identified uncontrolled BP vs existing uncontrolled BP
Design
Cross-sectional study
Authors
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Reclassifies many more patients as uncontrolled; leaves open whether tighter targets improve outcomes in this population.
Cross-Sectional (n=248)
No
Does applying a lower blood pressure target (≤130/80 mmHg) increase the proportion of uncontrolled hypertensive patients, and what factors are associated with uncontrolled disease?
Absolute Event Rate: 74.2% vs 21.7%
Lowering the blood pressure target to 130/80 mmHg significantly increases the proportion of patients classified as having uncontrolled hypertension, highlighting the need for improved medication adherence and weight management.
Charoensab et al. (2020) conducted a cross-sectional in Hypertension (n=248). Lower blood pressure target (≤130/80 mmHg) vs. Standard blood pressure target (≤140/90 mmHg) was evaluated on Proportion of patients with uncontrolled blood pressure. Applying the new lower blood pressure target (≤130/80 mmHg) increased the proportion of patients classified as having uncontrolled hypertension from 21.7% to 74.2%.
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