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Experts and Representatives From Leading International Health-Care Organizations Call to Stop the Hypertension Pandemic, a Worldwide Silent Killer
Date:2/4/2008

to merely bring them close to the goal, instead of at goal or below", said Ernesto Schiffrin, Physician-in-Chief and Chair, Department of Medicine, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montréal, Canada and member of the Call to Action Working Group. Lifestyle changes are not only important because of the positive impact they can have on blood pressure management, but also for economic reasons related to the considerable cost savings that can be obtained when patients learn how to adhere to them on a regular basis. This is a specific area where the close relationship of nurses with patients can have a strong influence. "Through our partnering with patients and their families, we have found that we can develop a greater understanding for the importance of physical exercise and better eating habits on the disease evolution process, as well as provide tips to concerned patients on how they may integrate better lifestyle measures into their daily lives" said Amy Coenen, International Council of Nurses, University of Wisconsin College of Nursing, Milwaukee, WI, USA.

The first core action aims at detecting and treating more patients who have dangerous levels of BP but are not being treated or are not at their pressure goal (140/90 mm Hg or 130/80 for patients with risk factors). For every 20/10mm Hg rise in BP above this level, the risk of death from cardiovascular problems doubles(8). Those at greatest risk of a fatal event include middle-aged, elderly, overweight or diabetic individuals. Their additional cardiovascular risk factors should be thoroughly and rapidly assessed as part of the second core action in order to prevent severe target organ damage, such as advanced or end stage kidney disease. In the third core action, because too many patients are not at their targeted BP goal, the group has suggested the creation of a partnership with the patient. The objective is to motivate patients to play a more active role in the managemen
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SOURCE Call to Action Working Group
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