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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EHypertension is a global epidemic; yet rates of awareness, treatment, and control are lower than expected around the world, according to the results of the Prospective Urban Rural Epidemiology [PURE] study. The overall prevalence of hypertension was approximately 41%, with fewer than half of people with hypertension being aware of the diagnosis or being treated for it, and only 13% of those with a diagnosis of hypertension having controlled blood pressure.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EHypertensive Disease\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EPrevention \u0026amp; Screening\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EHypertension is a global epidemic; yet rates of awareness, treatment, and control are lower than expected around the world, according to the results of the Prospective Urban Rural Epidemiology [PURE] study. Reporting on the study, Rafael Diaz, MD, Estudios Cardiol\u00f3gicos Latinoam\u00e9rica, Rosario, Argentina, noted that the overall prevalence of hypertension was approximately 41%, with fewer than half of people with hypertension being aware of the diagnosis or being treated for it, and only 13% of those with a diagnosis of hypertension having controlled blood pressure (BP).\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EThe PURE study included 153,996 adults (ages 35 to 70 years; mean age, 50.4 years) from 628 rural and urban communities in 3 high\u2013income countries (HIC), 10 upper-(UMIC) and lower\u2013middle-income countries (LMIC), and 4 low-income countries (LIC). Hypertension was defined as an average systolic BP (SBP) \u2265140 mm Hg or a diastolic BP (DBP) \u226590 mm Hg, the self-report of a medical diagnosis of hypertension, or the use of BP-lowering medications. The mean SBP for the study population was 131.23 mm Hg, and the mean DBP was 81.99 mm Hg. Most individuals (36.8%) had prehypertension; 21.9% had stage 1 hypertension, and 13.4% had stage 3 or 4 hypertension. Approximately 28% of the population had an optimal BP.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EAwareness, treatment, and control of hypertension varied among rural and urban areas within the 3 categories of countries. In HIC and MIC, there was a greater prevalence of hypertension in rural areas than in urban areas; in LIC, the reverse was true, with a higher prevalence in urban areas. The prevalence of hypertension was greater among men in HIC and MIC, but was greater among women in LIC.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EThe investigators also assessed prevalence, awareness, treatment, and control among subgroups categorized by the presence of other cardiovascular risk factors (eg, diabetes, current or past smoking, obesity, age \u0026gt;65 years, and male sex). Rates were highest among individuals with \u22652 risk factors (compared with no or 1 risk factors). Hypertension was controlled in 15% of individuals with \u22652 risk factors, in 12% with 1 risk factor, and in 8% with no risk factors.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EThe low rates of BP control may be related to the low use of \u22652 BP-lowering medications. Although the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure notes that \u22652 medications are required for most people with hypertension, the control rates in PURE ranged from 15.7% in HIC to 13.1% in MIC to 1.6% in LIC.\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EProf. Diaz noted that novel strategies to detect hypertension (such as systematic screening), simplified treatment algorithms, and facilitation of the early use of combination therapies may be helpful in improving the global control of hypertension, particularly in LIC.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EThe comparisons were adjusted for age and sex. The urban-rural differences in awareness (LIC and LMIC), treatment (LIC, LMIC, and UMIC), and control (LIC, LMIC, and UMIC) were significant (p\u0026lt;0.001).\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2012 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/12\/13\/20.2.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nznb9p\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}