Study Shows Impact of Updated Guidelines on Rate of Hypertension in People with HIV


Jeannette Y. Wick, R.Ph., MBA, FASCP

An anticipated 1.1 million Americans stay with HIV, and high blood pressure is a chief threat for cardiovascular disease (CVD) and a common comorbidity in this population. About 15% of deaths in the HIV populace are as a result of CVD. The American College of Cardiology (ACC) and the American Heart Association (AHA) Task Force (ACC/AHA) updated the medical exercise recommendations for high blood pressure in 2017. Under those pointers, the diagnostic criteria for level 1 high blood pressure are a systolic strain of one hundred thirty mmHg or higher or a diastolic pressure of 80 mmHg or better.

In a brand new take-look published in the American Journal of Hypertension, a group of researchers from Texas examined the boom in high blood pressure inside the HIV populace next to the up-to-date ACC/AHA suggestions. The researchers used the Medical Monitoring Project survey to pick out 957 HIV-effective members from 2013 to 2014. They diagnosed hypertensive sufferers using charted diagnosis, antihypertensive medication use, blood pressure readings ≥a hundred and forty/90 (JNC7 tips), and ≥a hundred thirty/80 mm Hg (ACC/AHA recommendations). The prevalence of high blood pressure in the HIV population elevated from forty-seven. 6% to 68.7%, using the updated ACC/AHA hints.

The researchers attributed a combination of traditional CVD risk elements coupled with high costs of cigarette smoking and obesity and HIV- or antiretroviral therapy (ART) mediated consequences for the high prevalence prices of high blood pressure in this populace. About 33% of contributors were present-day smokers, 21.6% were former people who smoke, and 63.9% were overweight. This observation has additionally proven a significant increase in hypertension with an increased ART period.


Effective remedy with ART has improved the life span of human beings living with HIV, but they stay at a chance for chronic sicknesses. Pharmacists can mechanically deal with the risk factors of hypertension in this population by taking blood pressure or asking patients to take their personal after they choose prescriptions. The up-to-date suggestions help in the early identification and remedy of hypertension before cardiovascular damage develops.

When left untreated, high blood pressure and hypertension are known as uncontrolled hypertension. In fact, according to recent research, about 75 percent of the people suffering from hypertension in the U.S. do not get effective treatment to manage their high blood pressure. Uncontrolled hypertension is much more dangerous than you might think. One thing patients can do to keep track of their health and any potential hypertension problems is to monitor their check very closely and allow a hypertension situation to degenerate into an uncontrolled one.

What are some of the causes of uncontrolled hypertension? As mentioned earlier in this article, simply not paying attention to your medical check-up is one reason. Not following prescription medication schedules or therapy is another. The high cost of medications and the fear of side effects can also deter patients from receiving the needed help. Lifestyle habits can also have a profound impact on hypertension problems. We live in a fast-paced society of instant gratification and indulgence. Alcohol, smoking, bad eating habits, and overeating all contribute to hypertension, and if left unchecked, can lead to uncontrolled hypertension.