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      Hypertension treatment and control in five European countries, Canada, and the United States.

      Hypertension

      Adolescent, Adult, Aged, Canada, Cardiovascular Diseases, etiology, Cross-Sectional Studies, Europe, Female, Humans, Hypertension, complications, drug therapy, epidemiology, Male, Middle Aged, Prevalence, Risk Factors, United States

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          Abstract

          Levels of hypertension treatment and control have been noted to vary between Europe and North America, although direct comparisons with similar methods have not been undertaken. In this study, we sought to estimate the relative impact of hypertension treatment strategies in Germany, Sweden, England, Spain, Italy, Canada, and the United States by using sample surveys conducted in the 1990s. Hypertension was defined as a blood pressure of 160/95 mm Hg or 140/90 mm Hg, plus persons taking antihypertensive medication. "Controlled hypertension" was defined as a blood pressure less than threshold among persons taking antihypertensive medications. Among persons 35 to 64 years, 66% of hypertensives in the United States had their blood pressure controlled at 160/95 mm Hg, compared with 49% in Canada and 23% to 38% in Europe. Similar discrepancies were apparent at the 140/90 mm Hg threshold, at which 29% of hypertensives in the United States, 17% in Canada, and

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          Author and article information

          Journal
          14638619
          10.1161/01.HYP.0000103630.72812.10

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