Blood Pressure Control: Which Approach Works Best?
Controlling blood pressure in most people with hypertension is not a simple matter, suggests research published in the Annals of Internal Medicine. Updated blood pressure guidelines call for lower blood pressure to cut cardiovascular risks and, according to this study, a combination of physician- and non-physician-led strategies may be most beneficial for achieving blood pressure goals.
For the study, researchers at Tulane University in New Orleans reviewed existing research evaluating the effectiveness of eight strategies for reducing high blood pressure in adults. The researchers discovered that medication plus team-based care led by a non-physician clinician resulted in the greatest average reduction in blood pressure – 7 mm Hg in systolic blood pressure and a similar number in diastolic blood pressure. Physician led, team-based care with medication resulted in a 6 mm Hg reduction, on average, and multi-level strategies without team-based care led to a 5 mm Hg reduction in blood pressure.
Patient-level strategies, including health coaching and home blood pressure monitoring, were less successful in reducing blood pressure – with about 4 mm Hg and 3 mm Hg reductions, respectively.