Posts Tagged ‘Hypertension’
As American Heart Month comes to a close, it’s important to acknowledge that heart health should be a priority year-round. One of the key risk factors of heart attack and stroke is hypertension, and according to the CDC, 1 in 3 U.S. adults has high blood pressure. The good news? It’s controllable. Kaiser Permanente recently published a Q&A with Joseph Young, MD, internal medicine physician and clinical hypertension lead for The Permanente Medical Group – and we’ve included excerpts from that conversation below.
Can you give us a quick ‘Blood Pressure 101’?
Joseph Young, MD:
Blood pressure is just the pressure of blood flowing inside the body’s blood vessels. The top number is the pressure when the heart pumps at its peak. The bottom number is the pressure when the heart is relaxing and filling back up with blood. An ideal blood pressure is 119/79 or lower. A top number between 120 and 139 or a bottom number between 80 and 89 is called ‘prehypertension.’
What is high blood pressure?
If your blood pressure is 140/90 or higher, you have high blood pressure, also known as hypertension. As an aside, in a healthy, active person, what might seem like low blood pressure is often normal. In the United States, 29 percent of the adult population, or roughly 70 million people, has high blood pressure. Being overweight, lack of physical activity, too much salt or alcohol, stress, older age, genetics and family history, and various diseases all can contribute to high blood pressure. The good news is that it is easy to treat high blood pressure with a healthy lifestyle and a number of well-tolerated, once-daily medications.
What are the main guidelines for healthy practices that can reduce risk?
Regular physical activity is very important and helps to lower blood pressure. Pick something you enjoy — that will make it easier to stick with it. And it doesn’t have to be fancy. You could just walk briskly at least 150 minutes a week, for example. Limit salt intake, too, because salt causes fluid retention, which increases blood pressure. Many people don’t realize that most salt doesn’t come out of a salt shaker; it’s from processed and restaurant food. So, cook with unprocessed fresh fruits, vegetables and lean sources of protein at home, and limit how often you eat out to no more than one to two times a week. Don’t drink too much alcohol. If you smoke, quitting is the most important thing above anything else that you could do for your overall health. Smoking does not increase blood pressure, but smoking combined with high blood pressure or with any other risk factor is especially dangerous.
For more information, check out the full article available at Kaiser Permanente’s News Center.
One year ago, the Department of Health and Human Services, with several key partners, launched the Million Hearts™ national public-private initiative. Million Hearts aims to prevent 1 million heart attacks and strokes over five years through behavioral changes and clinical interventions. One of the most significant contributing factors to cardiovascular disease is hypertension, or high blood pressure. According to the CDC, nearly one in three American adults (67 million) has high blood pressure, and more than half (36 million) don’t have it under control. Additionally, high blood pressure contributes to nearly 1,000 deaths per day and accounts for nearly $131 billion in direct health care costs a year.
Today, the U.S. DHHS Secretary Kathleen Sebelius recognized two health care providers in the United States as 2012 Hypertension Control Champions: Ellsworth (Wis.) Medical Clinic and Kaiser Permanente’s Colorado region. The designation signifies these two health care providers have had remarkable success controlling hypertension across their patient populations, supported by verifiable data documenting the improvement. Watch a video of the announcement here.
Since 2008, Kaiser Permanente Colorado’s focus on managing hypertension has resulted in an improvement from an initial member control rate of 61 percent to its current control rate of 82.6 percent. The average hypertension control rate nationally is around 50 percent.
According to their press release, Kaiser Permanente’s hypertension control strategy has five central components:
- Registries: Through data housed within the Kaiser Permanente HealthConnect® electronic medical record, registries are created to identify members with hypertension.
- Actionable lists: Kaiser Permanente staff then draft lists to help identify which members did not have their blood pressure under control.
- Patient outreach: To reach those newly identified members, Kaiser Permanente nurses and other care team representatives work collaboratively to contact members and encourage them to come into local medical offices for blood pressure checks at least once a year.
- Managing blood pressure in the office: Kaiser Permanente primary care teams and clinical pharmacy staff develop long-term medication management programs for members with hypertension.
- Eliminating barriers: Members with hypertension are able to receive free blood pressure checks on a walk-in or appointment basis.
In September 2011, shortly after Million Hearts officially launched, Janet Wright, MD, executive director of Million Hearts, joined several other leaders in the heart health space at the Center for Total Health in Washington, D.C., for a summit to address hypertension. You can see our coverage of that event at these links.
Continuing our “year in review” highlights of programs and content since this blog’s launch earlier this fall, today we have brief one-on-one interviews with three of the expert panelists from the Hypertension & Heart Health Summit held at the Center for Total Health in September. In the first video, you’ll hear thoughts from Janet Wright, who is now executive director of the Million Hearts Initiative — a joint effort co-led by the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services, and sponsored by other federal agencies and private-sector partners.
The next video features Elijah Saunders, MD, with the Association of Black Cardiologists.
Today’s final video is a moment with Ralph Brindis, MD, with Kaiser Permanente.
As 2011 comes to a close, we are revisiting some of the events, programs and topics we’ve highlighted since launching the Center for Total Health blog in September — and bringing new content to you in the process. In today’s post, we have a conversation with Murray Ross, PhD, vice president and director of the Kaiser Permanente Institute for Health Policy. We sat down with Murray in September, shortly before the U.N. High-Level Meeting on Non-Communicable Diseases (and the Hypertension and Heart Health Summit held at the Center for Total Health during Be Well Week). In this interview, Murray shares his thoughts about NCDs and their growing effect — in the United States and globally — on health care costs.
For more highlights from the September 20 Walking Summit that was held at the Center for Total Health in Washington, D.C., check out the video below. Moderated by Jack Cochran, MD, with The Permanente Federation, this panel focused on walking and chronic conditions. In the video, the panelists – Harold Silverman with the American Diabetes Association; John Arden, PhD, with Kaiser Permanente; and Roquell Wyche, MD, with Washington Hospital Center – address the effects walking can have on chronic conditions like diabetes, depression, cardiovascular disease and hypertension.
September 19 and 20, the United Nations is holding its High-Level Meeting on Non-Communicable Diseases – one of which is cardiovascular disease. In support of the U.N.’s meeting, the Center for Total Health hosted a summit to address one of the most significant contributing factors to cardiovascular disease: Hypertension. Held on September 15, the Hypertension and Heart Health Conference featured a panel of experts discussing the challenges of preventing, diagnosing and controlling high blood pressure.
Moderating the conference was Susan Dentzer, editor-in-chief for Health Affairs. Speaking at the event were Richard McCarthy, MD, Kaiser Permanente’s physician-in-chief for District of Columbia and suburban Maryland, and Nils Daulaire, MD, director of global affairs for the U.S. Department of Health and Human Services. Panelists included Elijah Saunders, MD, a founding member of the Association of Black Cardiologists; Ralph Brindis, MD, senior advisor for cardiovascular disease at Kaiser Permanente Northern California; and Janet Wright, MD, senior vice president for science and quality at the American College of Cardiology. Wright was recently named the director of the Million Hearts Initiative – a plan from the DHHS to prevent 1 million heart attacks and strokes over the next five years through behavioral changes and clinical interventions.
Check out highlights of the event in the video below. And stay tuned for more excerpts from our conversations with the panelists.
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