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New perspectives for hypertension management: progress in methodological and technological developments

Gianfranco Parati1,2, Alexandra Goncalves3, David Soergel4

  • 1Department of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano IRCCS, Ospedale San Luca, Piazzale Brescia 20, 20149 Milano, Italy.

European Journal of Preventive Cardiology
|September 8, 2022
PubMed

Insights

Improving hypertension management requires a comprehensive strategy. Early screening, patient engagement through home monitoring, and optimized treatments are key to controlling high blood pressure and preventing cardiovascular disease.

Area of Science:

  • Cardiology
  • Public Health
  • Preventive Medicine

Background:

  • Hypertension is a leading preventable risk factor for cardiovascular disease (CVD), causing 20% of global deaths.
  • Two-thirds of individuals with hypertension remain undiagnosed, untreated, or undertreated, highlighting a significant gap in care.
  • Childhood elevated blood pressure predicts adult hypertension and CVD, emphasizing the need for lifelong screening and education.

Purpose of the Study:

  • To outline a multi-pronged approach for improving hypertension management across the lifespan.
  • To highlight the role of early screening, patient engagement, and technological advancements in controlling blood pressure.
  • To advocate for optimized use of existing strategies and novel healthcare system interventions.

Main Methods:

  • Review of current hypertension management strategies, including lifestyle modifications, pharmacotherapy, and devices.
  • Exploration of patient-centered approaches like home blood pressure monitoring and digital health tools.
  • Discussion of strategies to overcome physician therapeutic inertia and improve adherence.

Main Results:

  • Early screening and lifelong education programs are crucial for preventing adult hypertension and CVD.
  • Home blood pressure monitoring and digital health technologies enhance patient engagement and blood pressure control.
  • Optimizing pharmacotherapy through single-pill combinations and addressing physician inertia can improve treatment outcomes.

Conclusions:

  • A multifaceted approach involving early detection, patient empowerment, optimized treatments, and digital health is essential for effective hypertension management.
  • Healthcare system-level interventions and government policies promoting healthy lifestyles are vital for global cardiovascular risk reduction.
  • Integrating advanced diagnostics and patient-centric strategies can significantly improve blood pressure control rates and mitigate the impact of hypertension.

Keywords:
AdherenceControlEducationInertiaLifestyleScreening

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