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PRIMARY AND SECONDARY PREVENTION OF CARDIOVASCULAR DISEASES - page 16 / 38

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Hypertension-Challenges and Costs

Challenges

HTN increasing in the developing world

40% of those with HTN do not know they have the disease

1/3 of patients being treated do not reach goal

Cost Efficacy-Detection and management of HTN are highly cost effective

In secondary prevention, using diuretics and BB’s cost is <$10,000/QALY

In primary prevention, cost $10,000-$20,000/QALY in moderate to severe HTN

Cost may be>$100,000/QALY with more expensive antihypertensive agents

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