This guideline reinforces the view that doctors should not focus solely on blood pressure but must also formally assess total risk of cardiovascular disease and use multifactorial interventions, including statins and aspirin, to reduce it. Treatment of blood pressure alone will leave many hypertensive patients at unacceptably high risk of cardiovascular complications and death. 1 To improve this suboptimal treatment, the British Hypertension Society recommends a treatment algorithm based on the AB/CD rule. 1 A key reason for this is the predominant use of monotherapy by most doctors. Much new evidence has emerged on the importance of blood pressure as a risk factor for cardiovascular disease the importance of lifestyle measures for the prevention and treatment of hypertension the efficacy and safety of different drug classes management of hypertension in groups at higher risk, including people with diabetes the importance of assessing the total risk of cardiovascular disease and additional benefits associated with the use of statins.Ĭoncern remains that national surveys continue to show substantial underdiagnosis, undertreatment, and poor rates of blood pressure control in the United Kingdom.
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