Es una enfermedad si el 60% de los adultos la padece? Tratamos una enfermedad o tratamos una adaptación?
«The guidance is not explicit about why a 10% risk of cardiovascular disease over 10 years should be classified as a disease. This is a fundamental question. The ontological status of hypertension is primarily as a risk factor: the higher the blood pressure, the greater the risk of cardiovascular disease, and the better the chance of benefit from drug treatment. Blood pressure is a continuum with no clear boundary between normal (health risk small enough to be accepted) and pathological (health risk unacceptably high). To avoid overmedicalising healthy people, recommendations must be evidence based and follow a detailed consideration of the consequences of any changes for individuals, populations, and health systems. This use of the 2017 ACC/AHA guidance labels 46% of all US adults and 63% of those aged 45 to 75 as having hypertension».