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Current status of hypertension control around the world
Serap Erdine1, Sinan Nazif Aran
1Cardiology Department, Cerrahpasa Medical School, University of Istanbul, Istanbul, Turkey. eserdine@superonline.com
Insights
High blood pressure (hypertension) significantly increases cardiovascular disease risk. Optimal blood pressure control remains a global challenge, especially in developing nations, necessitating reinforced hypertension guidelines worldwide.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension is a major risk factor for cardiovascular diseases (CVD), including stroke and myocardial infarction.
- Epidemiological data show a clear link between elevated blood pressure and increased mortality risk.
- Despite its significance, hypertension control rates are suboptimal globally.
Purpose of the Study:
- To highlight the critical role of hypertension management in cardiovascular disease prevention.
- To underscore the challenges in achieving optimal blood pressure control worldwide.
- To advocate for the reinforcement of hypertension guidelines globally.
Main Methods:
- Review of epidemiological and observational studies on hypertension prevalence and outcomes.
- Analysis of data from national health surveys regarding blood pressure control rates.
- Examination of factors contributing to poor hypertension control in developing countries.
Main Results:
- Only 34% of the hypertensive population in a national survey achieved target blood pressure (<140/90 mmHg).
- Hypertension prevalence is increasing in developing countries due to epidemiological transition, aging, and urbanization.
- Low control rates in developing nations are attributed to limited health resources and infrastructure.
Conclusions:
- Effective prevention, detection, treatment, and control of hypertension are crucial for CVD protection.
- Reinforcing hypertension guidelines is essential globally, particularly in developing countries facing rising prevalence and low control rates.
- Addressing resource scarcity and infrastructure limitations is key to improving hypertension management in underserved regions.
Abstract:
It is well established that hypertension is an important risk factor for cardiovascular disease. Data from epidemiological and observational studies have demonstrated increasing risk of stroke, myocardial infarction, cardiovascular death and all cause mortality associated with high blood pressure. Despite the significance of the problem with respect to overall health, control of high blood pressure is far from being optimal. Data from the National Health and Nutrition Survey have shown that those achieving target blood pressure values less than 140/90 mmHg are only 34% of the hypertensive population. The situation is no better in the rest of the world and even worse in the developing countries. Epidemiological transition taking place in developing countries with a decline in communicable diseases and an increase in noncommunicable have resulted in an improvement in life expectancy, thus causing predictable shifts in causes of death. Aging of the populations, urbanization and socioeconomic changes in the developing world have led to an increase in the prevalence of hypertension, with low control rates due to scarce health resources and insufficient health infrastructure. Thus prevention, detection, treatment and control of hypertension play a crucial role in protection of cardiovascular disease, not only in the developed countries but also in the developing world and implementation of hypertension guidelines should be reinforced around the world.
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