Hypertension and Strokes

I got your number

100

Good control of this leads to a 30-40% reduction in incidence of stroke

What is blood pressure control? Furie, K. L., Kernan, W. N., Mitchell, P. H., Ovbiagele, B., Palesch, Y. Y., Sacco, R. L., . . ., Wentworth, D. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke; A Journal of Cerebral Circulation, 42(1), 227-276. doi:10.1161/STR.0b013e3181f7d043

200

Number of Americans with hypertension

What is the 72 million? (?>139 mm Hg or diastolic BP ?89 mm Hg) Furie, K. L., Kernan, W. N., Mitchell, P. H., Ovbiagele, B., Palesch, Y. Y., Sacco, R. L., . . ., Wentworth, D. (2011). Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke; A Journal of Cerebral Circulation, 42(1), 227-276. doi:10.1161/STR.0b013e3181f7d043

300

If current trend continues this many strokes deaths are estimated by 2030.

What is 7-8 million. 23 million first ever strokes and 7-8 million estimated number of first ever strokes and stroke deaths in 2030 if the current trend continues Mendis, S. (2013). Stroke disability and rehabilitation of stroke: World health organization perspective. International Journal of Stroke : Official Journal of the International Stroke Society, 8(1), 3-4. doi:10.1111/j.1747-4949.2012.00969.x

400

Cardiac risk increase with every 20 mmHg systolic or 10 mmHg diastolic elevation.

What is double? Dubow, J., & Fink, M. E. (2011). Impact of hypertension on stroke. Current Atherosclerosis Reports, 13(4), 298-305. doi:10.1007/s11883-011-0187-y

500

Number of Joint National Committees appointed to report on management of high blood pressure control in adults?

What is 8? James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., . . . Ortiz, E. (2013). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (JNC 8). Journal of the American Medical Association, (January 20) doi:10.1001 /jama.2013.284427

Howdy Partner!

100

Year of Million Hearts initiative goal of preventing 1 million heart attacks and strokes.

What is 2017? Benjamin, R. M. (2012). The million hearts™ initiative: Progress in preventing heart attacks and strokes. Public Health Reports (Washington, D.C.: 1974), 127(6), 558-560.

200

Campaign in support of Million Hearts to increase the number of pharmacists who provide advice, especially tips on taking blood pressure medications as prescribed, to their customers with high blood pressure.

What is Team Up, Pressure Down? Benjamin, R. M. (2012). The million hearts™ initiative: Progress in preventing heart attacks and strokes. Public Health Reports (Washington, D.C.: 1974), 127(6), 558-560.

300

Provides heart health management tools, including Heart 360, My Life Check, and the Heart Attack Risk Calculator

What is the American Heart Association? Benjamin, R. M. (2012). The million hearts™ initiative: Progress in preventing heart attacks and strokes. Public Health Reports (Washington, D.C.: 1974), 127(6), 558-560.

400

Used educational materials developed by the Preventative Cardiovascular Nurses Association to educate women and families using a network of peer enters on hypertension.

What is WomenHeart? Benjamin, R. M. (2012). The million hearts™ initiative: Progress in preventing heart attacks and strokes. Public Health Reports (Washington, D.C.: 1974), 127(6), 558-560.

500

Convening a series of webinars that share best practices and technical assistance from state health officials, chronic disease directors, and heart and stroke disease prevention leaders in their states

What is the Association of State and Territorial Health Officials? Benjamin, R. M. (2012). The million hearts™ initiative: Progress in preventing heart attacks and strokes. Public Health Reports (Washington, D.C.: 1974), 127(6), 558-560.

You want me to do what?

100

Initiation of this is recommended in general population older than 59 years old at systolic pressure of >149/>89 mmHg.

What is pharmacologic treatment? James, P. A., Oparil, S., Carter, B. L., Cushman, W. C., Dennison-Himmelfarb, C., Handler, J., . . . Ortiz, E. (2013). 2014 evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the eighth joint national committee (JNC 8). Journal of the American Medical Association, (January 20) doi:10.1001 /jama.2013.284427

300

Adopting this may result in a 8-14 mmHg reduction in blood pressure

What is DASH? Joint National Committee on Prevention, Detection, Evaluation,and Treatment of High Blood Pressure. (2003). JNC 7 express : The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. United States.