<div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="3" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{8}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Telehealth, remote blood pressure (BP)<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">monitoring</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>and team-based care can help close the gap in uncontrolled hypertension between rural and urban Americans, a new scientific statement from the American Heart Association (AHA) suggests.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="4" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{10}"><span class="NormalTextRun SCXW164144205 BCX0">The statement, published in <em>Hypertension</em>, notes that rural Americans are more likely than urban residents to have hypertension — 40.0% of adults in the most rural areas versus 29.4% in the most urban — and less likely to have it controlled, then sets out the barriers behind that gap and weighs the clinical, technological and policy fixes for it.</span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="5" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{12}"><span class="NormalTextRun SCXW164144205 BCX0">The writing group, chaired by Cassandra D. Ford, PhD, of the University of Alabama Capstone College of Nursing, noted that multiple clinical trials have shown that controlling BP has been shown to lower the risk of stroke by 35% to 40%, myocardial infarction by 20% to 25% and heart failure by more than 50%. </span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="6" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{14}"><span class="NormalTextRun SCXW164144205 BCX0">However, the problem of uncontrolled hypertension sharpened since the 2017 ACC/AHA guideline lowered the BP target for most adults from <140/90 to <130/80 mm Hg, a goal the 2025 AHA/ACC guideline kept, they said, noting that under the tighter target, fewer than 25% of US adults with hypertension are estimated to have controlled BP. </span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="1445702446" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{16}"><span class="NormalTextRun SCXW164144205 BCX0">"More intensive BP-lowering necessitates greater resources and more intensive treatment, requiring up to 6 clinic visits per year in a carefully controlled clinical trial setting (20% to 30% more than standard care), and 1 additional medication on average,” noted the authors.</span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":240,"335559739":240,"335559740":276}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" lang="EN-US" paraid="7" paraeid="{9e890649-51d4-44df-bb83-0ad9088fd165}{249}"><span data-contrast="none" xml:lang="EN" lang="EN" class="TextRun Highlight SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">“Medication adherence is often cited as a key contributor, but medication adherence (a patient behavior occurring after obtaining medication) must be distinguished from medication access, which reflects upstream structural and economic barriers to obtaining prescribed therapy</span><span class="NormalTextRun SCXW164144205 BCX0">.”</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":240,"335559739":240,"335559740":276}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" lang="EN-US" paraid="8" paraeid="{e0f72f4f-3758-4a04-9f6c-d676248371e3}{7}"><strong><span class="NormalTextRun SCXW164144205 BCX0">Higher burden, lower control</span></strong><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":240,"335559739":240,"335559740":276}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="9" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{20}"><span data-contrast="none" xml:lang="EN" lang="EN" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">The AHA statement noted that h</span><span class="NormalTextRun SCXW164144205 BCX0">ypertension affects about 47% of U</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0">S</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>adults. However, its toll falls unevenly, with county-level prevalence reported at 18.0% to 55.0%, highest across the southeastern U</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0">S</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>and Appalachia.<span> </span></span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="10" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{22}"><span data-contrast="none" xml:lang="EN" lang="EN" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Indeed, the authors cited the REGARDS study, where measured BP put the adjusted odds of hypertension 17% to 19% higher in rural groups than urban, noting that control lags where the burden is heaviest: among U</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0">S</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>adults with hypertension in 2021 to 2023, 59.2% were aware of it, 51.2% were treated, and only 20.7% were controlled to below 130/80 mm Hg.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" paraid="11" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{24}"><span class="NormalTextRun SCXW164144205 BCX0">The group tied much of that gap to a thinning care infrastructure: as of 2022, rural counties had roughly one-third as many physicians per 10,000 residents as urban counties and about half as many primary care doctors, and up to 700 more rural hospitals are projected to close in the coming years. Rural residents travel more than twice as far as urban residents for medical care, and more than half cite the cost of that travel as a barrier, compared with 45% of urban residents.</span><span class="EOP SCXW164144205 BCX0" data-ccp-props="{"335559738":240,"335559739":240}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="12" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{26}"><span class="NormalTextRun SCXW164144205 BCX0">Yet the shortfall is not simply a matter of patients failing to take their pills, warns the statement, noting that available studies suggest rural and urban patients adhere to their medications at similar rates, the group noted, with an insurance-claims analysis putting cardiovascular-medication adherence at 55.8% versus 54.2% and no significant difference after adjustment. </span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="13" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{28}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Access is another matter: about 90% of rural areas now<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">contain</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>at least one pharmacy desert, where the nearest pharmacy sits more than 10 miles away, and 56.8% of rural residents live in one</span><span class="NormalTextRun SCXW164144205 BCX0">.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="14" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{30}"><strong><span class="NormalTextRun SCXW164144205 BCX0">Telehealth and team-based care</span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></strong></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="15" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{32}"><span class="NormalTextRun SCXW164144205 BCX0">The statement's answer to those barriers is to push care beyond the clinic. The 2025 AHA/ACC guideline already gives a Class 1A recommendation to home BP monitoring, team-based care and telehealth, and the writing group called all three especially suited to rural practice, where self-measured BP paired with remote follow-up lets a shrinking workforce act on readings it would otherwise never see.</span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="16" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{34}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Indeed, the early evidence is<span> </span></span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW164144205 BCX0">encouraging:</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>in a rural West Virginia program serving a population where nearly half of adults have hypertension, cell-enabled home monitoring was associated with a mean drop of<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">16 mm</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>Hg in systolic and<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">7 mm</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>Hg in diastolic BP at<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">18 months</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>on interim analysis (both p < 0.0001). Team-based models that fold a pharmacist, nurse, dietitian, social<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">worker</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>or community health worker into the patient</span><span class="NormalTextRun SCXW164144205 BCX0">-</span><span class="NormalTextRun SCXW164144205 BCX0">clinician relationship can ease therapeutic inertia, the authors said</span><span class="NormalTextRun SCXW164144205 BCX0">.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="17" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{36}"><span class="NormalTextRun SCXW164144205 BCX0">Still, the tools carry rural-specific caveats. Telehealth depends on broadband and cellular coverage that many rural and tribal areas lack, the statement cautioned, and on a level of digital literacy that runs lower than in urban populations — gaps it said must be assessed and planned for.<span> </span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="18" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{38}"><strong><span class="NormalTextRun SCXW164144205 BCX0">Policy and investment</span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></strong></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="568354744" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{40}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Sustaining these efforts will take policy and investment. The group pointed to the Rural Health Transformation Program, announced by the Centers for Medicare & Medicaid Services in 2025, which directs about<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">$50 billion</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>in federal funds to states over 5 years for rural health care quality and access, with priorities including chronic-disease management, technical innovation and a rural workforce that explicitly includes pharmacists and community health workers.<span> </span></span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" lang="EN-US" paraid="19" paraeid="{e0f72f4f-3758-4a04-9f6c-d676248371e3}{158}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Federal broadband investment through the U</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0">S</span><span class="NormalTextRun SCXW164144205 BCX0">.</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>Department of Agriculture's<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW164144205 BCX0">ReConnect</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>program and community-led efforts such as Health Coaches for Hypertension Control in rural Appalachia offer further models.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="20" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{42}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">In the end, the statement named health care professional shortages, long distances to care and limited pharmacy access as the substantial barriers to rural BP management, and pointed to telehealth, mobile health units and team-based care built around community health workers as ways to ease them. Continued policy support and investment, Ford and colleagues concluded, will be essential to keeping a rural workforce in place, advancing the<span> </span></span><span class="NormalTextRun SCXW164144205 BCX0">technology</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>and extending the telehealth infrastructure that rural hypertension care increasingly runs on.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335559739":240,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" paraid="947252576" paraeid="{f8cd7d67-6b9d-4eab-80ff-431b3d51f689}{44}"><strong><span class="NormalTextRun SCXW164144205 BCX0">Source: </span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></strong></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-bottom="0px none #000000" data-ccp-padding-bottom="0px" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" lang="EN-US" paraid="21" paraeid="{e0f72f4f-3758-4a04-9f6c-d676248371e3}{201}"><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Ford CD, Cameron NA, Clark D III, et al. Rural Health and Health Disparities in Hypertension Management: A Scientific Statement<span> </span></span><span class="NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW164144205 BCX0">From</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>the American Heart Association.<span> </span></span></span><em><span class="NormalTextRun SCXW164144205 BCX0">Hypertension</span></em><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">. 2026</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>July</span><span class="NormalTextRun SCXW164144205 BCX0">:<span> </span></span><span class="NormalTextRun SpellingErrorV2Themed SCXW164144205 BCX0">Epub</span><span class="NormalTextRun SCXW164144205 BCX0"><span> </span>ahead of print.</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></p> </div> <div class="OutlineElement Ltr SCXW164144205 BCX0"> <p class="Paragraph SCXW164144205 BCX0" data-ccp-border-between="0px none #000000" data-ccp-padding-between="0px" lang="EN-US" paraid="185969130" paraeid="{d7dfcb3b-d130-4f38-931d-8740182c7f53}{60}"><strong><span data-contrast="none" xml:lang="EN-US" lang="EN-US" class="TextRun MacChromeBold SCXW164144205 BCX0"><span class="NormalTextRun SCXW164144205 BCX0">Image Credit: </span><span class="NormalTextRun SpellingErrorV2Themed SCXW164144205 BCX0">Chalabala</span><span class="NormalTextRun SCXW164144205 BCX0"> – stock.adobe.com</span></span><span class="EOP Selected SCXW164144205 BCX0" data-ccp-props="{"335557856":16580093,"335572071":0,"335572072":0,"335572073":4278190080,"335572075":0,"335572076":0,"335572077":4278190080,"335572079":0,"335572080":0,"335572081":4278190080,"335572083":0,"335572084":0,"335572085":4278190080,"335572087":0,"335572088":0,"335572089":4278190080,"469789798":"none","469789802":"none","469789806":"none","469789810":"none","469789814":"none"}"> </span></strong></p> </div>