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Hypertension management: an update

Quang Nguyen1, Joann Dominguez2, Loida Nguyen3

  • 1Assistant Professor, Department of Endocrinology, Diabetes, and Metabolism, University of Nevada School of Medicine, Reno.

American Health & Drug Benefits
|August 16, 2014
PubMed

Insights

Hypertension is a major public health issue, increasing risks for stroke, heart disease, and mortality. Effective treatment is crucial as risks begin at lower blood pressure levels, yet remain inadequately managed in most patients.

Area of Science:

  • Cardiology
  • Public Health
  • Nephrology

Background:

  • Hypertension represents a significant and costly public health challenge.
  • It is a primary, modifiable risk factor for cardiovascular disease (CVD).
  • The risks associated with hypertension are continuous, commencing at blood pressure levels as low as 115/75 mm Hg.

Purpose of the Study:

  • To review guidelines for the optimal evaluation of hypertension.
  • To discuss current therapeutic options for managing hypertension.
  • To address the inadequate treatment of elevated blood pressure in a majority of patients.

Main Methods:

  • Review of randomized controlled trials (RCTs) demonstrating the benefits of hypertension control.
  • Analysis of current clinical guidelines for hypertension management.
  • Synthesis of available therapeutic strategies for combating elevated blood pressure.

Main Results:

  • Controlling hypertension demonstrably reduces the risk of stroke, coronary artery disease, congestive heart failure, end-stage renal disease, peripheral vascular disease, and overall mortality.
  • The health risks linked to hypertension are continuous and begin at relatively low blood pressure levels.
  • Despite known risks, elevated blood pressure is inadequately treated in most individuals.

Conclusions:

  • Effective hypertension management is essential for reducing the incidence of severe cardiovascular and renal complications.
  • Optimal evaluation and timely therapeutic intervention are critical for mitigating the pervasive impact of hypertension.
  • Addressing the treatment gap in hypertension is a key public health priority.

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