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Arterial Hypertension: Novel Pharmacological Targets and Future Perspectives
Irene Paula Popa1, Andreea Clim1, Alin Constantin Pînzariu1
1Department of Morpho-Functional Sciences II, Discipline of Physiology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Insights
Arterial hypertension (HTN) management faces challenges with low blood pressure control rates. This review explores novel pharmacological targets and interventional strategies for effective hypertension treatment.
Area of Science:
- Cardiology and Hypertension Research
- Pharmacology and Therapeutics
- Public Health and Epidemiology
Background:
- Arterial hypertension (HTN) is a leading global cause of cardiovascular disease and mortality, often complicated by comorbidities like diabetes and obesity.
- Despite available treatments, achieving adequate blood pressure (BP) control remains a significant challenge, impacting vital organs.
- Current healthcare focuses on both pharmacological and non-pharmacological HTN management strategies.
Purpose of the Study:
- To review novel pharmacological targets for arterial hypertension treatment.
- To discuss emerging interventional techniques for resistant hypertension.
- To explore future perspectives in HTN management strategies.
Main Methods:
- Literature review of current and emerging antihypertensive therapies.
- Analysis of novel pharmacological targets addressing HTN pathophysiology and comorbidities.
- Evaluation of interventional procedures for refractory hypertension cases.
Main Results:
- Significant research is directed towards new drug development targeting distinct physiopathological mechanisms.
- Interventional techniques offer alternatives for patients with uncontrolled BP or medication intolerance.
- Poor drug adherence highlights the need for alternative treatment approaches beyond traditional medications.
Conclusions:
- Novel pharmacological targets and interventional methods are crucial for improving hypertension control.
- Future HTN treatment strategies must address medication adherence and explore diverse therapeutic avenues.
- Continued research is essential to overcome the limitations of current antihypertensive treatments.
Abstract:
Arterial hypertension (HTN) is one of the major global contributors to cardiovascular diseases and premature mortality, particularly due to its impact on vital organs and the coexistence of various comorbidities such as chronic renal disease, diabetes, cerebrovascular diseases, and obesity. Regardless of the accessibility of several well-established pharmacological treatments, the percentage of patients achieving adequate blood pressure (BP) control is still significantly lower than recommended levels. Therefore, the pharmacological and non-pharmacological management of HTN is currently the major focus of healthcare systems. Various strategies are being applied, such as the development of new pharmacological agents that target different underlying physiopathological mechanisms or associated comorbidities. Additionally, a novel group of interventional techniques has emerged in recent years, specifically for situations when blood pressure is not properly controlled despite the use of multiple antihypertensives in maximum doses or when patients are unable to tolerate or desire not to receive antihypertensive medications. Nonetheless, reducing the focus on antihypertensive medication development by the pharmaceutical industry and increasing recognition of ineffective HTN control due to poor drug adherence demands ongoing research into alternative approaches to treatment. The aim of this review is to summarize the potential novel pharmacological targets for the treatment of arterial hypertension as well as the future perspectives of the treatment strategy.
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