In just a decade, and using a deceptively simple approach, Kaiser Permanente doubled the percentage of Northern California patients whose blood pressures were brought down to healthy levels. The Kaiser program relied on close monitoring by a team of health care workers and the use of cheaper, more efficient drugs to treat high blood pressure. Over the course of an eight-year study, the percentage of patients with high blood pressure who had it under control increased from 44 percent in 2001 to 80 percent in 2009. The rate continued to climb after the study ended, and as of 2011, 87 percent of patients had lowered their high blood pressure to a healthy level. The results are intriguing because high blood pressure ... is treatable with medication and lifestyle changes, but has remained stubbornly difficult to control in most patients, Kaiser doctors said. During the years of the Kaiser study, the number of heart attacks and strokes fell substantially. Dr. Don Conkling, a 63-year-old Kaiser member who was part of the study, managed to get his blood pressure into a normal, healthy range for the first time since his early 40s. He lost about 60 pounds, cut out sugar and meat from his diet, and started walking several times a day, often for miles at a time, with his dog Sophie. Conkling, a veterinarian in San Bruno, also meditates every day for 45 minutes or longer to help reduce stress from his job. Not all patients have to make such drastic lifestyle changes to lower their blood pressure, Conkling said.
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