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Updated: Nov 4, 2025

Hemodynamic Characterization of Rodent Models of Pulmonary Arterial Hypertension
Published on: April 11, 2016
Arterial hypertension
Sofie Brouwers1, Isabella Sudano2, Yoshihiro Kokubo3
1Department of Cardiology, Cardiovascular Center Aalst, OLV Hospital Aalst, Aalst, Belgium; Department of Experimental Pharmacology, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.
Insights
Arterial hypertension is a major global health issue with poor control rates. Improved screening, diagnosis, and treatment strategies, including lifestyle changes and new therapies, are crucial for better patient outcomes.
Area of Science:
- Cardiology
- Public Health
Background:
- Arterial hypertension significantly contributes to the global disease burden, yet effective disease control remains a challenge.
- Current hypertension diagnosis relies on office blood pressure, but out-of-office measurements are recommended for confirmation.
Purpose of the Study:
- To review current understanding and management strategies for arterial hypertension.
- To highlight the gap between hypertension's controllability and actual patient outcomes.
Main Methods:
- Review of current hypertension guidelines and therapeutic options.
- Discussion of pharmacological and device-based treatment approaches.
- Emphasis on lifestyle modifications in hypertension management.
Main Results:
- First-line pharmacological treatments include ACE inhibitors/ARBs, calcium channel blockers, and diuretics, often as single-pill combinations.
- Spironolactone is a recommended fourth-line agent, and device-based therapies like renal denervation are emerging.
- Despite being controllable, awareness, treatment, and control rates for hypertension remain low.
Conclusions:
- Arterial hypertension requires urgent improvements in screening, diagnosis, treatment, and follow-up processes.
- Enhanced patient management strategies are essential to improve control rates and reduce the global burden of hypertension.
Abstract:
Arterial hypertension is the most important contributor to the global burden of disease; however, disease control remains poor. Although the diagnosis of hypertension is still based on office blood pressure, confirmation with out-of-office blood pressure measurements (ie, ambulatory or home monitoring) is strongly recommended. The definition of hypertension differs throughout various guidelines, but the indications for antihypertensive therapy are relatively similar. Lifestyle adaptation is absolutely key in non-pharmacological treatment. Pharmacologically, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, calcium channel blockers, and diuretics are the first-line agents, with advice for the use of single-pill combination therapy by most guidelines. As a fourth-line agent, spironolactone should be considered. The rapidly evolving field of device-based therapy, especially renal denervation, will further broaden therapeutic options. Despite being a largely controllable condition, the actual rates of awareness, treatment, and control of hypertension are disappointingly low. Further improvements throughout the process of patient screening, diagnosis, treatment, and follow-up need to be urgently addressed.
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