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Current challenges for hypertension management: From better hypertension diagnosis to improved patients' adherence

Gianfranco Parati1, Carolina Lombardi1, Martino Pengo2

  • 1Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, S.Luca Hospital, Milan, Italy; Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.

International Journal of Cardiology
|February 6, 2021
PubMed

Insights

Improving hypertension control requires better patient identification and treatment strategies. Utilizing advanced blood pressure monitoring and simplified medication regimens can enhance management for better health outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Public Health
  • Clinical Hypertension Management

Background:

  • Hypertension control remains a significant global public health challenge, despite advancements in measurement and pharmacotherapy.
  • A substantial number of patients with hypertension are undiagnosed or inadequately treated, contributing to disease burden and disability worldwide.
  • Current management strategies face challenges in accurate diagnosis and achieving sustained blood pressure control.

Purpose of the Study:

  • To address current challenges in hypertension management.
  • To explore strategies for improving the identification of sustained blood pressure elevation and specific hypertension phenotypes.
  • To enhance blood pressure control achievement in treated patients through optimized treatment regimens and increased patient/physician engagement.

Main Methods:

  • Utilizing combined office and out-of-office blood pressure monitoring techniques for improved diagnosis.
  • Optimizing and simplifying medication regimens, including drug selection and titration, for consistent 24-hour blood pressure control.
  • Leveraging blood pressure telemonitoring and mobile health technologies to promote active patient and physician involvement.

Main Results:

  • The paper discusses methods to improve the identification of sustained blood pressure elevation and phenotypes like white coat and masked hypertension.
  • Strategies for optimizing antihypertensive medication regimens are presented to achieve better 24-hour blood pressure control.
  • The role of telemonitoring and mobile health in enhancing patient and physician engagement in hypertension management is highlighted.

Conclusions:

  • Improved diagnostic accuracy through advanced monitoring techniques is crucial for effective hypertension management.
  • Simplified and optimized pharmacotherapy, alongside active patient and physician involvement, is key to achieving better blood pressure control.
  • Integrating technology like telemonitoring offers a promising avenue for enhancing hypertension care and patient outcomes.

Keywords:
Ambulatory blood pressure monitoringBP telemonitoringBlood pressure controlHome blood pressure monitoringHypertension diagnosis and treatmentMobile health technologiesTreatment adherence

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