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Hypertension: management perspectives
Claudio Borghi1, Arrigo F G Cicero
1University of Bologna, Internal medicine, Aging and Kidney Diseases Department, Bologna, Italy. claudio.borghi@unibo.it
Insights
Future hypertension management will integrate personalized therapies and genetic insights for better blood pressure control. Innovative drugs, particularly renin-angiotensin-aldosterone system modulators, show promise for effective treatment.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Rising global hypertension prevalence necessitates improved blood pressure (BP) control strategies.
- Associated costs of diagnosis, management, and adverse outcomes strain healthcare systems.
Purpose of the Study:
- To explore future perspectives in high blood pressure management.
- To discuss advancements in individualized therapy, genetic contributions, and drug development for hypertension.
Main Methods:
- Review of current knowledge and recent diagnostic/therapeutic achievements.
- Discussion of individualized therapy approaches.
- Examination of genetic factors in hypertension development and control.
- Analysis of new antihypertensive drug development pipelines.
Main Results:
- Integration of knowledge and advancements will enable early detection and diagnosis.
- Individualized and effective treatment strategies are anticipated.
- Innovative renin-angiotensin-aldosterone system modulators are the most promising drugs in development.
Conclusions:
- Personalized approaches combined with advanced diagnostics will improve hypertension prevention and treatment.
- Renin-angiotensin-aldosterone system modulators represent a key area for future antihypertensive drug development.
- Other drug classes like renalase analogs and endothelin antagonists face developmental or safety challenges.
Introduction:
The increasing worldwide prevalence of hypertension and the related increase in cost due to diagnosis, management and negative outcomes forces public health institutions and clinical researchers to find new strategies to improve blood pressure (BP) control. So what are the possible future perspectives for high BP management?
Areas Covered:
Three main points are briefly discussed in this article: individualized therapy, the known genetic contribution to hypertension development and control, and the improvement of disease management, including perspectives on new antihypertensive drug development.
Expert Opinion:
It is likely that the integration of the best available current knowledge with recent diagnostic and therapeutic achievements for the management of hypertension prevention and treatment will lead to the early detection of at-risk conditions, early diagnosis, and individualized and efficacious treatment. The most promising antihypertensive drugs currently in development are innovative renin-angiotensin-aldosterone system modulators. Further drugs have potentially interesting mechanisms of action, but renalase analogs are in the very early phases of development, and available endothelin antagonists have a poor safety profile.
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