Expert consensus on the management of hypertension in the young and middle-aged Chinese population

Jing Liu1, Xinzheng Lu2, Luyuan Chen3

  • 1Peking University People's Hospital Ringgold standard institution, Department of Cardiology, Beijing, China.

Insights

Hypertension, a major risk factor for cardiovascular disease, caused millions of deaths and significant disability globally in 2010. This condition, defined by high blood pressure, represents a substantial public health burden with high economic costs.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension (high blood pressure) is a leading, reversible risk factor for cardiovascular disease (CVD).
  • Globally, hypertension caused 9.40 million deaths (17.8% of total) and 170 million DALYs (7.0%) in 2010.
  • In China, hypertension contributes to 24.6% of deaths and 12.0% of DALYs, with annual direct medical costs of 36.6 billion yuan.

Purpose of the Study:

  • To highlight the significant global and national impact of hypertension.
  • To underscore the burden of hypertension in terms of mortality, disability, and economic cost.

Main Methods:

  • Review of global and national epidemiological data on hypertension.
  • Analysis of mortality and disability-adjusted life years (DALYs) attributed to hypertension.
  • Examination of direct medical costs associated with hypertension management.

Main Results:

  • Hypertension is a critical global health issue, responsible for a substantial proportion of deaths and disability.
  • The economic impact of hypertension is considerable, particularly in specific regions like China.

Conclusions:

  • Hypertension represents a major and costly public health challenge worldwide.
  • Effective management and prevention strategies for hypertension are crucial to reduce cardiovascular disease burden and healthcare costs.

Related Concept Videos

Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
556
Hypertension I: Introduction01:28

Hypertension I: Introduction

Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
653
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.6K
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
328
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
433
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
698