Do Recommendations for the Management of Hypertension Improve Cardiovascular Outcome? The Canadian Experience

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2011-10-30
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Abstract
The Canadian Hypertension Education Program (CHEP) was established in 1999 as a response to the result of a national survey that showed that a high percentage of Canadians were unaware of having hypertension with only 13% of those treated for hypertension having their blood pressure controlled. The CHEP formulates yearly recommendations based on published evidence. A repeat survey in 2006 showed that the percentage of treated hypertensive patients with the blood pressure controlled had risen to 65.7%. Over the first decade of the existence of the CHEP, the number of prescriptions for antihypertensive medications had increased by 84.4% associated with a significant greater decline in the yearly mortality from stroke, heart failure and myocardial infarction and a significant decrease in the hospitalization for stroke and heart failure. Therefore, the introduction of the CHEP and the yearly issue of updated recommendations resulted in a significant increase in the awareness, diagnosis and treatment of hypertension and in a significant reduction in stroke and cardiovascular morbidity and mortality. The CHEP model could serve as a template for its adoption to other regions or countries.
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Peter Bolli and Norm R. C. Campbell, “Do Recommendations for the Management of Hypertension Improve Cardiovascular Outcome? The Canadian Experience,” International Journal of Hypertension, vol. 2011, Article ID 410754, 3 pages, 2011. doi:10.4061/2011/410754