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Improving Hypertension Control in Vulnerable Populations Around the World
Shamitha A Manohar1, Rachel M Charbonnet1, Tina K Reddy1
1Tulane University School of Medicine, New Orleans, LA, USA.
Current Cardiology Reports
|September 2, 2023
Summary
Reducing hypertension burden in disadvantaged populations requires addressing social determinants of health and ensuring equitable access to care. Evidence-based medicine and multifactorial approaches are key to improving cardiovascular health outcomes worldwide.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Health Disparities
Background:
- Hypertension is a leading global risk factor for cardiovascular disease, morbidity, and mortality.
- The burden of hypertension disproportionately affects vulnerable and disadvantaged populations globally.
- Specific disparities exist, notably higher hypertension prevalence in US Black adults.
Purpose of the Study:
- To review recent literature, guidelines, and strategies for identifying and mitigating hypertension in underserved populations.
- To highlight the critical role of social determinants of health in addressing hypertension disparities.
- To emphasize the need for equitable healthcare access and evidence-based interventions.
Main Methods:
- Comprehensive literature review of recent publications and clinical guidelines.
- Analysis of multifactorial management approaches including lifestyle and pharmacotherapy.
- Examination of community-based, team-based, and telehealth interventions.
Main Results:
- Effective hypertension management necessitates lifestyle changes and combination drug therapy.
- Community-based programs, team-based care, and telehealth show promise for improving control.
- Renal denervation emerges as a potential therapeutic option for resistant hypertension.
Conclusions:
- Reducing the global hypertension burden in vulnerable groups demands equitable healthcare access.
- Implementing evidence-based medicine and addressing social determinants of health are crucial.
- Multifaceted strategies are essential for mitigating hypertension-related cardiovascular risks.
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