Headaches and Neuroimaging

SBP measurement below goal (ARR, 1.74; 95% CI, 1.07-2.83;P = .03),adjusting for adherence counseling (ARR, 1.49; 95% CI, 1.10-2.04;P = .01)and excluding patients with DM with SBP 140 mm Hg or lower (ARR, 1.49; 95% CI, 0.99-2.23;P = .06).Discussion | Among patients with uncontrolled hypertension, clinical inertia was more likely in those with a diagnosis of depression.Hence, clinical inertia may be 1 mechanism by which depressed patients have worse cardiovascular outcomes.Research has shown that patients with mental illness receive less intensive medical care, such as coronary revascularization 6 ; our study extends this literature by demonstrating differences in clinician behavior with respect to cardiovascular risk factor management in this population.Future studies should explore the underlying processes that affect clinician treatment practices when managing a patient with depression.In the meantime, PCPs should be cautious about undertreating cardiovascular risk factors among patients identified as having depression.