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Widespread, effective identification and management of uncontrolled hypertension remains elusive, undermining our ability to reduce the impact of stroke and heart disease. The statistics are widely appreciated: roughly 30% of North Americans have hypertension and almost half are uncontrolled. Nearly 1,000 people a day die from complications attributed to hypertension, and direct and indirect costs amount to $46 billion a year in the United States alone. Effective management of blood pressure for the 70 million adults in the US who currently have hypertension would clearly overwhelm our existing primary care system. There are already roughly 39 million physician office visits for essential hypertension per year.

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