Robina Josiah Willock1, Joseph B Miller2, Michelle Mohyi3, Ahmed Abuzaanona3, Meri Muminovic4, Phillip D Levy5. 1. Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA. 2. Department of Emergency Medicine and Department of Internal Medicine, Henry Ford Hospital and Wayne State University, Detroit, MI, USA. 3. Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA. 4. Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, USA. 5. Department of Emergency Medicine and Integrative Biosciences Center, Wayne State University, 6135 Woodward Ave, Detroit, MI, 48202, USA. plevy@med.wayne.edu.
Abstract
PURPOSE OF REVIEW: This review aims to emphasize how therapeutic inertia, the failure of clinicians to intensify treatment when blood pressure rises or remains above therapeutic goals, contributes to suboptimal blood pressure control in hypertensive populations. RECENT FINDINGS: Studies reveal that the therapeutic inertia is quite common and contributes to suboptimal blood pressure control. Quality improvement programs and standardized approaches to support antihypertensive treatment intensification are ways to combat therapeutic inertia. Furthermore, programs that utilize non-physician medical professionals such as pharmacists and nurses demonstrate promise in mitigating the effects of this important problem. Therapeutic inertia impedes antihypertensive management and requires a broad effort to reduce its effects. There is an ongoing need for renewed focus and research in this area to improve hypertension control.
PURPOSE OF REVIEW: This review aims to emphasize how therapeutic inertia, the failure of clinicians to intensify treatment when blood pressure rises or remains above therapeutic goals, contributes to suboptimal blood pressure control in hypertensive populations. RECENT FINDINGS: Studies reveal that the therapeutic inertia is quite common and contributes to suboptimal blood pressure control. Quality improvement programs and standardized approaches to support antihypertensive treatment intensification are ways to combat therapeutic inertia. Furthermore, programs that utilize non-physician medical professionals such as pharmacists and nurses demonstrate promise in mitigating the effects of this important problem. Therapeutic inertia impedes antihypertensive management and requires a broad effort to reduce its effects. There is an ongoing need for renewed focus and research in this area to improve hypertension control.
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: Ross T Tsuyuki; Sherilyn K D Houle; Theresa L Charrois; Michael R Kolber; Meagen M Rosenthal; Richard Lewanczuk; Norm R C Campbell; Dale Cooney; Finlay A McAlister Journal: Circulation Date: 2015-06-10 Impact factor: 29.690
Authors: Thomas M Maddox; Colleen Ross; Heather M Tavel; Ella E Lyons; Maggie Tillquist; P Michael Ho; John S Rumsfeld; Karen L Margolis; Patrick J O'Connor; Joe V Selby; David J Magid Journal: Circ Cardiovasc Qual Outcomes Date: 2010-05-20
Authors: Kevin Fiscella; Gbenga Ogedegbe; Hua He; Jennifer Carroll; Andrea Cassells; Mechelle Sanders; Chamanara Khalida; Brianna D'Orazio; Jonathan N Tobin Journal: Am Heart J Date: 2015-09-12 Impact factor: 4.749
Authors: Donna L McLean; Finlay A McAlister; Jeffery A Johnson; Kathryn M King; Mark J Makowsky; Charlotte A Jones; Ross T Tsuyuki Journal: Arch Intern Med Date: 2008-11-24
Authors: Giuseppe Mancia; Robert Fagard; Krzysztof Narkiewicz; Josep Redon; Alberto Zanchetti; Michael Böhm; Thierry Christiaens; Renata Cifkova; Guy De Backer; Anna Dominiczak; Maurizio Galderisi; Diederick E Grobbee; Tiny Jaarsma; Paulus Kirchhof; Sverre E Kjeldsen; Stéphane Laurent; Athanasios J Manolis; Peter M Nilsson; Luis Miguel Ruilope; Roland E Schmieder; Per Anton Sirnes; Peter Sleight; Margus Viigimaa; Bernard Waeber; Faiez Zannad; Josep Redon; Anna Dominiczak; Krzysztof Narkiewicz; Peter M Nilsson; Michel Burnier; Margus Viigimaa; Ettore Ambrosioni; Mark Caufield; Antonio Coca; Michael Hecht Olsen; Roland E Schmieder; Costas Tsioufis; Philippe van de Borne; Jose Luis Zamorano; Stephan Achenbach; Helmut Baumgartner; Jeroen J Bax; Héctor Bueno; Veronica Dean; Christi Deaton; Cetin Erol; Robert Fagard; Roberto Ferrari; David Hasdai; Arno W Hoes; Paulus Kirchhof; Juhani Knuuti; Philippe Kolh; Patrizio Lancellotti; Ales Linhart; Petros Nihoyannopoulos; Massimo F Piepoli; Piotr Ponikowski; Per Anton Sirnes; Juan Luis Tamargo; Michal Tendera; Adam Torbicki; William Wijns; Stephan Windecker; Denis L Clement; Antonio Coca; Thierry C Gillebert; Michal Tendera; Enrico Agabiti Rosei; Ettore Ambrosioni; Stefan D Anker; Johann Bauersachs; Jana Brguljan Hitij; Mark Caulfield; Marc De Buyzere; Sabina De Geest; Geneviève Anne Derumeaux; Serap Erdine; Csaba Farsang; Christian Funck-Brentano; Vjekoslav Gerc; Giuseppe Germano; Stephan Gielen; Herman Haller; Arno W Hoes; Jens Jordan; Thomas Kahan; Michel Komajda; Dragan Lovic; Heiko Mahrholdt; Michael Hecht Olsen; Jan Ostergren; Gianfranco Parati; Joep Perk; Jorge Polonia; Bogdan A Popescu; Zeljko Reiner; Lars Rydén; Yuriy Sirenko; Alice Stanton; Harry Struijker-Boudier; Costas Tsioufis; Philippe van de Borne; Charalambos Vlachopoulos; Massimo Volpe; David A Wood Journal: Eur Heart J Date: 2013-06-14 Impact factor: 29.983
Authors: Vicente Pallares-Carratala; Concepcion Carratala-Munuera; Adriana Lopez-Pineda; Jose Antonio Quesada; Vicente Gil-Guillen; Domingo Orozco-Beltran; Jose L Alfonso-Sanchez; Jorge Navarro-Perez; Jose M Martin-Moreno Journal: Front Cardiovasc Med Date: 2022-06-16
Authors: Jeffrey W Brettler; Gloria P Giraldo Arcila; Teresa Aumala; Allana Best; Norm Rc Campbell; Shana Cyr; Angelo Gamarra; Marc G Jaffe; Mirna Jimenez De la Rosa; Javier Maldonado; Carolina Neira Ojeda; Modesta Haughton; Taraleen Malcolm; Vivian Perez; Gonzalo Rodriguez; Andres Rosende; Yamile Valdes Gonzalez; Peter W Wood; Eric Zuniga; Pedro Ordunez Journal: Rev Panam Salud Publica Date: 2022-05-10
Authors: Jeffrey W Brettler; Gloria P Giraldo Arcila; Teresa Aumala; Allana Best; Norm Rc Campbell; Shana Cyr; Angelo Gamarra; Marc G Jaffe; Mirna Jimenez De la Rosa; Javier Maldonado; Carolina Neira Ojeda; Modesta Haughton; Taraleen Malcolm; Vivian Perez; Gonzalo Rodriguez; Andres Rosende; Yamile Valdes Gonzalez; Peter W Wood; Eric Zuñiga; Pedro Ordunez Journal: Rev Panam Salud Publica Date: 2022-05-10
Authors: Jeffrey W Brettler; Gloria P Giraldo Arcila; Teresa Aumala; Allana Best; Norm Rc Campbell; Shana Cyr; Angelo Gamarra; Marc G Jaffe; Mirna Jimenez De la Rosa; Javier Maldonado; Carolina Neira Ojeda; Modesta Haughton; Taraleen Malcolm; Vivian Perez; Gonzalo Rodriguez; Andres Rosende; Yamilé Valdés González; Peter W Wood; Eric Zúñiga; Pedro Ordunez Journal: Lancet Reg Health Am Date: 2022-05
Authors: Alexander R Zheutlin; Favel L Mondesir; Catherine G Derington; Jordan B King; Chong Zhang; Jordana B Cohen; Dan R Berlowitz; D Edmund Anstey; William C Cushman; Tom H Greene; Olugbenga Ogedegbe; Adam P Bress Journal: JAMA Netw Open Date: 2022-01-04