Blood pressure better controlled with 'MAP' for doctors

September 17, 2017, American Heart Association

A quality improvement program designed to better control hypertension in primary care practices notably improved hypertension control in six months, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017, in San Francisco.

One in three American adults has high blood . That number is steadily climbing, despite the fact that high blood pressure can be easily treated using evidence-based guidelines.

Based on the American Medical Association's M.A.P. Framework, the AMA collaborated with Care Coordination Institute Labs, Greenville South Carolina, to create the M.A.P. hypertension improvement program using the latest science in blood pressure control. It stands for measuring blood pressure accurately; acting rapidly to manage uncontrolled blood pressure; and partnering with to promote blood pressure self-management.

"The goal of the M.A.P. is to make it easier for doctors and care teams to help people with hypertension effectively manage their blood pressure," said study author Michael Rakotz, M.D., vice president of chronic disease prevention at the American Medical Association (AMA), based in Chicago.

Researchers compared blood pressure measurements of more than 21,000 hypertensive patients from 16 practices, comparing their blood pressures from the start of the study to those taken six months into participating in the MAP intervention.

They found:

  • Blood pressure control rose from 65.6 percent to 74.8 percent in six months.
  • Twelve of the 16 practices in the study reported notably better blood pressure control in their hypertensive patients.
  • Among the uncontrolled patients at the study's start, average blood pressure fell from 149/85 to 139/80 mm Hg.
  • Teaching accurate technique resulted in reduced systolic pressures in uncontrolled patients in the office.
  • There was no notable change in physicians increasing the number of or dosage of anti-hypertensive medications to treat patients with uncontrolled blood pressure.
  • There was a significant increase in drop in blood pressure with each medication change made during the study (14 mm Hg), compared to drops in blood pressure with each medication change prior to the study (5.4 mm Hg), implying that either patients are doing better at taking their medications daily or that the medications they are being prescribed are working better, according to Rakotz.

"MAP's evidence-based strategies offer an opportunity for primary care practices to work with patients to quickly improve blood pressure control. And the initiative goes hand-in-hand with national programs focused on reducing the burden of heart disease and stroke, including Target: BP," Rakotz said.

Target: BP is a joint initiative between the AHA and AMA aimed at reducing the number of American adults who die each year from heart attack and stroke. The MAP BP improvement program is a central part of the initiative.

High pressure contributes to major health problems, including heart attack, heart failure, stroke, kidney failure and more. The American Heart Association's goal is to improve cardiovascular health of all Americans by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent by the year.

Explore further: Adults without partners monitor their blood pressure less frequently

Related Stories

Adults without partners monitor their blood pressure less frequently

September 16, 2017
Having a lower education level and no partner is associated with a lower frequency of home blood pressure monitoring, according to new research presented at the American Heart Association's Council on Hypertension 2017 Scientific ...

Young adults, especially men, fall behind in high blood pressure treatment and control

August 28, 2017
Young adults, particularly men, lag behind middle-aged and older adults in awareness and treatment of high blood pressure, putting this population at an increased risk for heart attack and stroke, according to new research ...

Renal denervation lowers blood pressure in hypertensive patients not taking medication

August 28, 2017
Renal denervation lowers blood pressure in hypertensive patients not taking medication, according to late-breaking results from the SPYRAL HTN-OFF MED study presented today in a Hot Line LBCT Session at ESC Congress and published ...

Intensive blood pressure lowering benefits patients with chronic kidney disease

June 23, 2017
Results from a recent clinical trial indicate that intensive blood pressure lowering reduces chronic kidney disease (CKD) patients' risks of dying prematurely or developing cardiovascular disease. The findings appear in an ...

High blood pressure control in United States continues to improve

November 16, 2014
High blood pressure control continues to improve in the United States, with more than half of those with the condition now achieving readings below 140/90 millimeters of mercury (mm Hg), according to new research presented ...

More than 400 medical practices join national call to prioritize blood pressure control

November 15, 2016
Just one year after the American Heart Association (AHA) and American Medical Association (AMA) launched Target: BP, more than 400 medical practices, providers and health systems are now participating in the joint national ...

Recommended for you

Higher risk of heart attack on Christmas Eve

December 12, 2018
The risk of heart attack peaks at around 10pm on Christmas Eve, particularly for older and sicker people, most likely due to heightened emotional stress, finds a Swedish study in this week's Christmas issue of The BMJ.

Your weight history may predict your heart failure risk

December 12, 2018
In a medical records analysis of information gathered on more than 6,000 people, Johns Hopkins Medicine researchers conclude that simply asking older adult patients about their weight history at ages 20 and 40 could provide ...

Age is the biggest risk for heart disease, but lifestyle and meds have impact

December 12, 2018
Of all the risk factors for heart disease, age is the strongest predictor of potential trouble.

New understanding of mysterious 'hereditary swelling'

December 12, 2018
For the first time ever, biomedical researchers from Aarhus University, Denmark, report cellular defects that lead to a rare disease, hereditary angioedema (HAE), in which patients experience recurrent episodes of swelling ...

Research team traces pathway to cardioprotection in post-ischemic heart failure

December 11, 2018
During an ischemic attack, the heart is temporarily robbed of its blood supply. The aftermath is devastating: reduced heart contractility, heart cell death, and heart failure. Contributing to these detrimental changes is ...

Macrophage cells key to helping heart repair—and potentially regenerate, new study finds

December 11, 2018
Scientists at the Peter Munk Cardiac Centre have identified the type of cell key to helping the heart repair and potentially regenerate following a heart attack.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.