Implementing the new guidelines for hypertension: JNC 7, ADA, WHO-ISH.

摘要: BACKGROUND: The new guidelines issued by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) emphasize that aggressive blood pressure (BP) control is essential to reducing morbidity mortality. Additionally, American Diabetes Association (ADA) World Health Organization-International Society Hypertension (WHO-ISH) critical need for lowering BP levels. Achieving goals a challenge patients their physicians, most are not at goal. Poor even more with diabetes chronic kidney disease since lower. strategies levels include patient lifestyle changes, adherence therapy, regular monitoring OBJECTIVE: To summarize antihypertension recommended WHO-ISH, JNC 7, ADA, in African Americans Working Group (HAAW Group) International Blacks evaluate pharmacist’s collaborative role management hypertension examining results programs designed pharmacist counseling. METHODS: relevant literature was evaluated reviewed. Emphasis placed improve control. RESULTS: Results from several studies showed positive effects collaboration. A program provided academic detailing physicians 5 Veterans Affairs facilities resulted significant increases receiving β-blocker therapy or thiazide diuretics angiotensin-converting enzyme inhibitor angiotensin receptor blocker therapy. Another study which hypertensive received clinical services pharmacists improvement patients’ knowledge its adherence, also increase number whose stayed normal range. 6-month, controlled, single-blind, parallel-group 51 improvements control, quality life, overall satisfaction group treatment through primary care team included pharmacists. Among Administration medical center, suggested intervention improved documentation drug estimated compliance. effectiveness comanagement 197 physician-pharmacist collaboration using an evidence-based, systematic approach significantly larger achieved than group. CONCLUSIONS: expanded evaluating, monitoring, treating can result established guidelines. As members interdisciplinary health teams, should utilize 7 scientific evidence consult about medications, design effective formularies, collaborate evaluating comanaging hypertension.