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Present and future of drug therapy in hypertension: an overview
1INCLIVA Research Institute, University of Valencia, Valencia, Spain.
Insights
High blood pressure (HBP) management is crucial due to its high mortality. New antihypertensive drugs offer improved efficacy, reduced side effects, and organ protection, enhancing patient outcomes.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Internal Medicine
Background:
- High blood pressure (HBP) is a primary cause of mortality and disability, with increasing prevalence.
- Effective diagnosis and treatment of HBP are essential for preventing complications.
- Pharmacological treatment remains the cornerstone of hypertension management.
Purpose of the Study:
- To review the current landscape of antihypertensive drug classes.
- To highlight recent advancements in antihypertensive therapies.
- To discuss novel drugs offering organ protection and improved compliance.
Main Methods:
- Review of current antihypertensive drug classes and their mechanisms.
- Analysis of recently introduced antihypertensive agents.
- Exploration of novel administration routes and pharmacogenomic approaches.
Main Results:
- Existing drugs target blood pressure regulation and hypertension-induced organ damage.
- Newer antihypertensive drugs provide additional protection against organ damage and metabolic disorders.
- Emerging strategies include drugs for specific indications, pharmacogenomic approaches, and alternative administration routes like subcutaneous injection.
Conclusions:
- A summary of the key characteristics of various antihypertensive drug classes is presented.
- Recent advances focus on enhanced efficacy, reduced adverse effects, and multi-faceted organ protection.
- Future directions include personalized medicine and improved drug delivery systems for better patient compliance.
Abstract:
Purpose: High blood pressure (HBP) is the leading cause of mortality and years of disability, and its prevalence is increasing. Therefore, diagnosis and effective treatment of HBP is one of the main goals to prevent and reduce its complications, and pharmacological treatment is the cornerstone of hypertension management.Materials and Methods: The gradual introduction of different drug families has led to the development of new molecules that have improved efficacy and reduced adverse effects. Results: Current drugs include a large number that target key mechanisms of blood pressure regulation as well as those that contribute to hypertension-induced organ damage. Recently, new antihypertensive drugs have been introduced that not only aim to lower blood pressure but also provide additional protection against organ damage and metabolic disorders. Some of them were introduced for specific indications other than hypertension and other are based in a pharmacogenomic approach. Other routes of administration, such subcutaneous injection, are also being explored to improve protection and compliance.Conclusions: The main characteristics of each class of antihypertensive drug are summarised.
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