Controlling High Blood Pressure (CBP)

The percentage of persons 18–85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90 mm Hg) during the measurement period. 

WHY IT MATTERS

Controlling High Blood Pressure (CBP) 

Known as the “silent killer,” high blood pressure, or hypertension, increases the risk of heart disease and stroke, two of the leading causes of death in the United States (1, 2). A person with hypertension is four times more likely to die from a stroke and three times more likely to die from heart disease (3). 

The American Academy of Family Physicians (AAFP) strongly recommends clinicians treat adults who have hypertension to a standard blood pressure target (<140/90 mm Hg) to reduce the risk of all-cause and cardiovascular mortality (4). The Joint National Committee recommends that pharmacologic treatment be initiated in the general population <60 years, to lower systolic BP ≥140 mm Hg (and treat to a goal of systolic BP <140 mm Hg) and to lower diastolic BP ≥90 mm Hg (and treat to a goal of diastolic BP <90 mm Hg) (5). 

Despite varying definitions and treatment recommendations of hypertension by different organizations, all guidelines agree that controlling hypertension will significantly reduce the risks of cardiovascular disease mortality and lead to better health outcomes. Managing and treating hypertension would reduce cardiovascular disease mortality for males and females by 30.4% and 38.0%, respectively (4). 

Health care providers and plans can help individuals manage their high blood pressure by prescribing medications and encouraging low-sodium diets, increased physical activity and smoking cessation. 

Historical Results – National Averages

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References

  1. Centers for Disease Control and Prevention, National Center for Health Statistics. 2022. About Multiple Cause of Death, 1999–2020. CDC WONDER Online Database website. Atlanta, GA: Centers for Disease Control and Prevention.
  2. Benjamin E.J., et al. 2019. “Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association.” Circulation 139:e56–e528. DOI: 10.1161/CIR.0000000000000659Yoon, S.S., C.D. Fryar, M.D. Carroll. 2015. Hypertension Prevalence and Control Among Adults: United States, 2011–2014. NCHS data brief, no 220. Hyattsville, MD: National Center for Health Statistics.
  3. Centers for Disease Control and Prevention. 2021. “Team-Based Care for High Blood Pressure,” https://www.cdc.gov/policy/olaris/healthtopics/highbloodpressure/tbctool.html
  4. Coles, S., L. Fisher, K. Lin, C. Lyon, A. Vosooney, and M. Bird. “Blood Pressure Targets in Adults With Hypertension: A Clinical Practice Guideline From the AAFP.” November 14, 2022.
  5. James, P.A., S. Oparil, B.L. Carter, W.C. Cushman, C. Dennison-Himmelfarb, J. Handler, D.T. Lackland, et al. “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).” JAMA 311, no. 5 (February 5, 2014): 507–20. https://doi.org/10.1001/jama.2013.284427

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