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Train the world’s top killer: high blood pressure.

High blood pressure is the world’s leading killer. And it will kill more people, including young people, than COVID-19 (and in a typical year, more than any other infectious disease. All together), high blood pressure is preventable. mainly by reducing sodium in the diet and effective treatment with safe and economical medicines
But globally, our blood pressure is very well controlled, less than 1 in 7 people with high blood pressure, the lowest 14%, can control it. This is truly pathetic. and kills millions of people a year. It is the most important healthcare intervention for adults to save lives. And we do it less than 1
in 7 times (and in the US with a $4 trillion healthcare system We get less than half of this right. Even though it’s an intervention that can save more lives than any other healthcare intervention in the United States!)
A luxury study by University of Oxford scientists proved that for every 20 point increase in systolic blood pressure (the “top” number), the death rate from coronary heart disease doubles. Moreover This value starts at 115/75 blood pressure, which is lower than the normal level we maintain or aim for.
But showing that the bottom is better doesn’t prove that downgrade more is better That’s where the incredibly important Systolic Blood Pressure Intervention Trial (SPRINT) study began in 2010. One thing has to be proven. (Like Dr. Sarah Lewington of Oxford) that lower blood pressure was associated with a lower risk of death. but one more thing To prove that lowering blood pressure saves more lives

Low blood pressure can reduce the risk of death. But how low do we have to go? That’s big news about the results of the recently released SPRINT study. They proved that lower IS is better – and that targeting blood pressure below standard treatment targets resulted in many more deaths.

The SPRINT study also showed that although there are more side effects It is less dangerous than a heart attack or stroke, but intensive blood pressure treatment to meet low blood pressure goals is safe. even in the elderly More intense treatment prevents heart attacks. cerebrovascular disease and more deaths

According to the SPRINT study, current guidelines recommend that some high-risk patients with high blood pressure target systolic blood pressure below 130 rather than the standard target of 140 (SPRINT aims aims at targets below 120/80)

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But the bigger implications are: We have to do a lot better at keeping people under 140/90 for years that doctors feared lowering patients’ blood pressure to levels they thought were too low. And it can be dangerous. Now, it’s been proven to “overload.” The 140/90 goal isn’t just something that won’t hurt the patient. But it might very well save their lives.

The mortality rate for those treated with the blood pressure target below 120/80 was 27% lower than the mortality rate for those treated with the normal target of 140/90. preventable death It will prevent about two heart attacks. In addition to stroke, kidney failure, dementia, etc.

Even short-term exposure to low levels of air pollution can increase the risk of cardiac arrest.

Now it is also true that other non-drug interventions may be important. especially Reducing sodium can lower blood pressure and other health hazards. from eating too much salty food regular exercise overall healthy eating Reducing air pollution, etc., can make a huge difference. But these interventions are best done on a social and community-wide basis.

That’s why Although we should empower and inform patients. But we shouldn’t expect them to be able to withstand the obesity, salty, sedentary and pollution-causing environment we live in. And although we can miraculously improve our diet and our overall environment, There are still billions of people in the world who need medications for high blood pressure.

Why can’t we control high blood pressure? One reason is that we have made the treatment too complicated. Much more complicated than it should be for best results. Over the past four years, Resolve to Save Lives has been working with our global partners to characterize highly effective hypertension control programs around the world. We summarize the lessons learned in this article and in this picture.
WHO HEARTS Technical Package for Improving Cardiovascular Health Simplifies Treatment of Hypertension: Standard Treatment Protocols that Health Workers Can Use Procurement of Quality Assured Medicines team health care Patient focused service and a robust health information system This makes it more likely for patients to achieve and maintain their blood pressure.

think about it The study came out last week that could save millions of lives. There are no news articles about it. Although this is “just” the final report from a study that has revealed previously important results. (Because the findings are so important), we’re slow to implement these recommendations. It shows that we still have a lot to learn about what we need to focus on in order to save as many lives as possible.

Resolve To Save Lives partners with countries that uses the WHO HEARTS package to lower blood pressure Reducing sodium and treating high blood pressure could prevent 3 million premature deaths a year. Lowering blood pressure could save millions of lives. We know what to do Let’s make it happen

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