STEPHEN B. LANGFELD, M.D., F.A.C.P.
Deficiencies in the detection, treatment, and control of hypertension before hospitalization have been shown by a survey of 185 patients admitted for various surgical procedures unrelated to hypertension. From their current status or previous history, 51 patients were classified as hypertensive. Twenty-six of these were currently hypertensive; 10 of these (6 of whom were previously unrecognized) had never received treatment, and 8 had discontinued therapy. Among 25 patients currently under treatment, 8 were hypertensive, and 10 others had blood pressures above normal. These conditions could not be attributed to lack of access to medical care, since all but three patients had visited a primary source of medical care within the past year. Discontinuation of treatment by the physician or patient was the predominant reason. A change in both physician and patient behavior is critical for the success of hypertension-control programs.
LANGFELD SB. Hypertension: Deficient Care of the Medically Served. Ann Intern Med. ;78:19–23. doi: 10.7326/0003-4819-78-1-19
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Published: Ann Intern Med. 1973;78(1):19-23.
Cardiology, Coronary Risk Factors, Hypertension, Nephrology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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