There are many recommendations, but there is no agreement about what represents the best way to diagnostically and therapeutically manage patients with low bone density. New drugs are expensive. Hypertension High blood pressure has been known for a long time to increase the risk of cardio-vascular mortality. There is general agreement that high blood pressure should be treated. There is, however, a lack of universally accepted guidelines for management of these patients.
Several problems are evident.
Patients not coming to the office are not diagnosed. Patients who survive acute myocardial infarction run a high risk of cardiovascular mortality and morbidity. Some reports have indicated that in-hospital mortality among the patients in your plan is higher then expected based on the comparison with other similar hospitals. There is a lack of universally accepted guidelines for management of these patients in your organization. There is a good evidence that lowering total cholesterol levels reduces the risk of these outcomes.