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European Heart Journal Advance Access originally published online on May 19, 2009
European Heart Journal 2009 30(12):1434-1439; doi:10.1093/eurheartj/ehp192
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

The impact of the Canadian Hypertension Education Programme in its first decade

Finlay A. McAlister1,*, Ross D. Feldman2, Katherine Wyard3, Rollin Brant4, Norman R.C. Campbell5 for the CHEP Outcomes Research Task Force

1 Division of General Internal Medicine, 2F1.21 WMC, University of Alberta, 8440 112 Street, Edmonton, AB, Canada T6G 2R7
2 Department of Medicine, University of Western Ontario, Canada
3 Consultant to Public Health Agency of Canada, Toronto, Canada
4 Department of Statistics, University of British Columbia, Canada
5 Departments of Medicine, Community Health Sciences and of Pharmacology and Therapeutics, Libin Cardiovascular Institute, University of Calgary, Canada

Received 16 December 2008; revised 8 April 2009; accepted 27 April 2009 * Corresponding author. Tel: +1 780 407 1657, Fax: +1 780 407 3132, Email: finlay.mcalister@ualberta.ca

The first 150 words of the full text of this article appear below.

High blood pressure remains a major risk factor for premature death and disability.1 Worldwide, 62% of strokes and 49% of myocardial infarctions have been attributed to suboptimal blood pressure control and two-thirds of this attributable burden occur in middle-aged individuals (45–69 years).2 Hypertension is already the number one reason for primary care physician visits in Canada3 and the prevalence of hypertension is increasing faster than previously predicted.4 Although part of this increase in prevalence reflects lowering of the blood pressure thresholds for diagnosis of hypertension and increasing recognition of hypertension by physicians, there is also evidence that this increase has been at least partially driven by increasing incidence and decreasing mortality over the past decade.4,5 The increasing incidence is not surprising given the underlying demographic shifts over the past decade in the form of an ageing population with worsening levels of obesity and reduced physical activity.

Lowering of systolic blood . . . [Full Text of this Article]


   Brief overview of the CHEP
 

   Changes in the diagnosis of hypertension in Canada over the past decade
 

   Changes in the treatment of hypertension in Canada over the past decade
 

   Changes in the control of hypertension in Canada over the past decade
 

   Changes in hypertension-related clinical events in Canada over the past decade
 

   Summary
 

   Funding
 

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