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[General, non-medicamentous treatment of arterial hypertension]
K H Günther1, J Frille, H J Winterfeld
1Herzzentrum der Charité, Humboldt-Universität, Berlin, DDR.
Insights
Nonpharmacological management offers a reducible strategy for hypertension control. Integrating these methods alongside drug treatments and managing risk factors is crucial for reducing cardiac risk in hypertensive patients.
Area of Science:
- Cardiology
- Public Health
- Hypertension Management
Context:
- Elevated blood pressure (hypertension) poses a significant global health challenge.
- Current hypertension management often relies heavily on pharmacological interventions.
- There is a growing need to explore and integrate nonpharmacological approaches for comprehensive blood pressure control.
Purpose:
- To review the multifaceted aspects of nonpharmacological management for elevated blood pressure.
- To analyze the historical development, intervention possibilities, and integration of nonpharmacological strategies.
- To evaluate the efficacy and implications of nonpharmacological interventions in hypertension control.
Summary:
- This review examines nonpharmacological interventions for elevated blood pressure, including their historical context, potential, and integration into population-level strategies.
- It discusses advantages like early diagnosis benefits and disadvantages, alongside specific results such as blood pressure reduction in spa settings and hemodynamic changes.
- The review highlights the importance of concurrent management of risk factors and the synergistic effect of nonpharmacological and pharmacological treatments.
Impact:
- Nonpharmacological measures can significantly reduce the burden of hypertension if widely adopted.
- Effective integration of these strategies can enhance early diagnosis and improve overall cardiovascular risk reduction in hypertensive individuals.
- This approach supports a comprehensive, population-level strategy for hypertension control, complementing traditional drug therapies.
Abstract:
This review focuses on the following aspects of nonpharmacological management concerning elevation of blood pressure: historical development, highlights and theses, possibilities of intervention, as well as favorable observations, advantages (in early diagnosis), disadvantages, fields of application, and integration of this form of treatment into a comprehensive strategy of hypertension control at a population level. A selection of detailed results is elaborated including: possible failure in primary classification of elevated blood pressure and its consequences, the reducibility of the hypertension problem if nonpharmacological measures are generally used, risk factor prevalences in medical and non-medical university cadres, blood pressure reduction in a spa, and hemodynamic changes induced by nonpharmacological or combined antihypertensive treatment simultaneously with drugs. Finally, reference is made to international results, as well as to the importance of the relation between diagnosing and treating blood pressure elevation concomitantly with a simultaneous management of other main risk factors that must be influenced in order to reduce the cardiac risk in hypertensives.