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The objective of this study was to compare rates of receiving a hypertension diagnosis and antihypertensive agent among young adults with (1) isolated systolic, (2) isolated diastolic, and (3) combined systolic\/diastolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content>. A retrospective analysis was conducted in patients aged 18 to 39 years (n=3003) with <jats:italic>incident <\/jats:italic><jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content>. Kaplan\u2013Meier survival and Cox proportional hazards analyses were performed. Only 56% with isolated systolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> received a diagnosis compared with 63% (systolic\/diastolic); 32% with isolated systolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> received an initial antihypertensive compared with 52% (systolic\/diastolic). Compared with patients with systolic\/diastolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content>, those with isolated systolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> had a 50% slower diagnosis rate (hazard ratio [<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>], 0.50; 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>], 0.41\u20130.60) and those with isolated diastolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> had a 26% slower rate (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>, 0.74; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.60\u20130.92). Patients with isolated systolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> had 58% slower medication initiation (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>, 0.42; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.34\u20130.51) and those with isolated diastolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> had 31% slower rates (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>,\u00a00.69; <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 0.55\u20130.86). Young adults with isolated systolic <jats:styled-content style=\"fixed-case\">HTN<\/jats:styled-content> have lower diagnosis and treatment rates.<\/jats:p>","DOI":"10.1111\/jch.12596","type":"journal-article","created":{"date-parts":[[2015,6,13]],"date-time":"2015-06-13T07:24:38Z","timestamp":1434180278000},"page":"885-894","source":"Crossref","is-referenced-by-count":15,"title":["Differential Diagnosis and Treatment Rates Between Systolic and Diastolic Hypertension in Young Adults: A Multidisciplinary Observational Study"],"prefix":"10.1111","volume":"17","author":[{"given":"Heather M.","family":"Johnson","sequence":"first","affiliation":[{"name":"Department of Medicine University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christie M.","family":"Bartels","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn T.","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Health Services Research and Development Veterans Affairs Pittsburgh Healthcare System and Department of Pharmacy &amp; Therapeutics School of Pharmacy University of Pittsburgh Pittsburgh PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica R.","family":"Schumacher","sequence":"additional","affiliation":[{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Department of Surgery University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Pandhi","sequence":"additional","affiliation":[{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Department of Family Medicine University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Department of Surgery University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Department of Family Medicine University of Wisconsin School of Medicine and Public Health Madison WI"},{"name":"Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health Madison WI"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,13]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"103","article-title":"Vital signs: prevalence, treatment, and control of hypertension\u2013United States, 1999\u20102002 and 2005\u20102008","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02146-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1993.00410050036006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004872-200311000-00011"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.110.168195"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.37.3.869"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.0000150859.47929.8e"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.36.4.594"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199812313392701"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1001310"},{"key":"e_1_2_10_12_1","first-page":"45","article-title":"Wisconsin Collaborative for Healthcare Quality (WCHQ): lessons learned","volume":"103","author":"Hatahet MA","year":"2004","journal-title":"WMJ"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1785"},{"key":"e_1_2_10_14_1","unstructured":"Wisconsin collaborative for healthcare quality. 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