OBJECTIVE: To identify markers for loss of control of hypertension. DESIGN: Questionnaire administered to patients who had been monitored for 18 months and had had their blood pressure (BP) measured many times. SETTING: Fifty family practices in southeastern Ontario. PARTICIPANTS: Three hundred eighty-five adults with essential hypertension that was initially stable and controlled by medication. MAIN OUTCOME MEASURES: Change in BP (from baseline to mean of three measurements over 18 months) and proportion of patients with BP exceeding threshold values at most follow-up visits. RESULTS: Higher income was associated with an increase in diastolic BP; poor adherence to medication regimens and higher life stress were associated with increases in systolic BP Stress also led to a twofold increase in risk of exceeding BP thresholds. Other factors under study were not related to loss of control. CONCLUSION: Adherence to medication regimens, higher income, and life stress were the only factors associated with elevated BP or loss of control in previously controlled hypertension.
OBJECTIVE: To identify markers for loss of control of hypertension. DESIGN: Questionnaire administered to patients who had been monitored for 18 months and had had their blood pressure (BP) measured many times. SETTING: Fifty family practices in southeastern Ontario. PARTICIPANTS: Three hundred eighty-five adults with essential hypertension that was initially stable and controlled by medication. MAIN OUTCOME MEASURES: Change in BP (from baseline to mean of three measurements over 18 months) and proportion of patients with BP exceeding threshold values at most follow-up visits. RESULTS: Higher income was associated with an increase in diastolic BP; poor adherence to medication regimens and higher life stress were associated with increases in systolic BP Stress also led to a twofold increase in risk of exceeding BP thresholds. Other factors under study were not related to loss of control. CONCLUSION: Adherence to medication regimens, higher income, and life stress were the only factors associated with elevated BP or loss of control in previously controlled hypertension.
Authors: D R Berlowitz; A S Ash; E C Hickey; R H Friedman; M Glickman; B Kader; M A Moskowitz Journal: N Engl J Med Date: 1998-12-31 Impact factor: 91.245
Authors: D Abbott; N Campbell; P Carruthers-Czyzewski; A Chockalingam; M David; G Dunkley; E Ellis; J G Fodor; D McKay; V R Ramsden Journal: Can J Public Health Date: 1994 Sep-Oct
Authors: Wayne Putnam; Beverley Lawson; Farokh Buhariwalla; Mary Goodfellow; Rose Anne Goodine; Jennifer Hall; Kendrick Lacey; Ian MacDonald; Frederick I Burge; Nandini Natarajan; Ingrid Sketris; Beth Mann; Peggy Dunbar; Kristine Van Aarsen; Marshall S Godwin Journal: BMC Fam Pract Date: 2011-08-11 Impact factor: 2.497