In low- and middle-income countries, few adults with hypertension have adequate blood pressure (BP) control. A randomized clinical trial by He and colleagues in 18 primary care centers found that a multicomponent intervention resulted in greater decreases than usual care in systolic and diastolic BP. The intervention was led by community health workers and included health coaching, home BP monitoring, and BP audit and feedback. In an Editorial, Huffman and colleagues suggest that focusing efforts on a priority health condition such as BP can lead to systematic improvements in cardiovascular health.

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强调

在低收入和中等收入国家，很少有高血压的成年人具有适当的血压控制。He及其同事在18个初级保健中心进行的一项随机临床试验发现，多成分干预导致收缩压和舒张压的下降比常规治疗更大。干预措施由社区卫生工作者领导，包括健康指导，家庭血压监测以及血压审计和反馈。在《社论》中，霍夫曼及其同事建议，将精力集中在诸如BP之类的优先健康状况上，可以导致心血管健康的系统性改善。