Current Trends of Hypertension Treatment in the United States

American Journal of Hypertension
Shreya J Shah, Randall S Stafford

Abstract

To examine current patterns of hypertension (HTN) treatment in the United States, including blood pressure (BP) control, prevalence of different antihypertensive agents, and variations in treatment associated with patient and physician characteristics. We used data from the National Disease and Therapeutic Index (NDTI), a nationally representative physician survey produced by QuintilesIMS. We selected patients with a diagnosis of HTN and identified those prescribed antihypertensive therapies. We analyzed the type of antihypertensive agents prescribed. Extent of BP control, and associated patient and physician characteristics. We calculated 95% confidence intervals that accounted for the multistage NDTI sampling design. Among those treated for HTN in 2014, BP control varied: systolic BP (SBP) ≥160 (15%) vs. SBP 150-159 (9%) vs. SBP 140-149 (19%) vs. SBP 130-139 (26%) vs. SBP <130 (32%). Of those treated for HTN, 29% used of angiotensin-converting enzyme inhibitors (ACEIs); 24%, thiazide-like diuretics; 22%, angiotensin receptor blockers (ARBs), 21%, calcium-channel blockers (CCBs); and 19% beta-blockers. Newer drugs had very limited uptake; no drugs approved after 2002 were used in more than 5% of patients. Selection of agents v...Continue Reading

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Citations

Sep 20, 2019·International Journal of Hypertension·Sang Hyuck KimYong-Chol Kwon
May 15, 2019·Current Opinion in Cardiology·Rajeev Gupta, C Venkata S Ram
Jun 25, 2020·Journal of the American Heart Association·Magdalene M AssimonJennifer E Flythe
Sep 25, 2020·Journal of General Internal Medicine·Michael E JohansenJeremey B Sussman
Dec 20, 2019·American Journal of Hypertension·Oyunbileg MagvanjavJulie A Johnson
Jan 20, 2019·BMC Medical Informatics and Decision Making·Georg DietrichFrank Puppe
Mar 14, 2020·Future Cardiology·Noman LateefSean Janzer
Dec 20, 2019·Experimental and Therapeutic Medicine·Tianwei DongWeida Chen
Aug 28, 2020·Frontiers in Medicine·Aline Silva de Miranda, Antonio Lucio Teixeira
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Jul 1, 2020·Experimental Gerontology·Carlos A Vaz Fragoso, Gail J McAvay
Apr 22, 2021·Diabetes, Obesity & Metabolism·James HeywardG Caleb Alexander
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May 11, 2021·American Journal of Physiology. Renal Physiology·Matthew A SparksThomas M Coffman
Jul 6, 2021·Journal of Diabetes and Metabolic Disorders·Yasaman SharifiMahbube Ebrahimpur

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