Related Experiment Video

Updated: Jun 9, 2025

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

7.5K

Cost-effectiveness of strengthening blood pressure classification in South Korea: comparing the 2017 ACC/AHA and KSH

KyungYi Kim1, Min Ji Hong2, Bomgyeol Kim3

  • 1Department of Healthcare Management, Graduate School of Public Health, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Clinical Hypertension
|November 1, 2024
PubMed

Insights

Adopting the 2017 ACC/AHA hypertension guidelines in South Korea is cost-effective, potentially reducing cardiovascular disease (CVD) events. This approach offers significant public health benefits and supports policy decisions on blood pressure targets.

Area of Science:

  • Health Economics
  • Public Health Policy
  • Cardiovascular Disease Prevention

Background:

  • Hypertension significantly increases cardiovascular disease (CVD) risk, with rising mortality rates.
  • South Korea currently follows the Korean Society of Hypertension (KSH) guideline (140/90 mmHg).
  • The 2017 ACC/AHA guidelines recommend a lower threshold (130/80 mmHg).

Purpose of the Study:

  • To evaluate the cost-effectiveness of adopting the 2017 ACC/AHA hypertension guidelines in South Korea.
  • To estimate the impact of earlier blood pressure treatment on CVD risk reduction.
  • To inform policy decisions regarding hypertension management guidelines.

Main Methods:

  • A 10-year Markov state-transition simulation model was employed.
  • Quality-adjusted life years (QALYs) were used to measure effectiveness.
  • Analyses compared cohorts of 10,000 individuals across age groups (20s-80s) from a healthcare system perspective.

Main Results:

  • The base-case incremental cost-effectiveness ratio (ICER) was KRW 1,328,395/QALY gained.
  • ICERs varied by age, with younger individuals showing negative ICERs (cost-saving) and older individuals showing higher positive ICERs.
  • All scenarios remained below the willingness-to-pay threshold, with a 98.0% probability of cost-effectiveness.

Conclusions:

  • Adopting the 2017 ACC/AHA guidelines is projected to be cost-effective across all South Korean age groups.
  • Implementing these guidelines may lead to earlier hypertension treatment and reduced CVD incidence.
  • Findings provide crucial economic data for policymakers considering guideline revisions.
Abstract

Keywords:
Blood pressureCardiovascular diseasesCost-effectiveness analysisEconomic evaluationHypertensionKidney failure, chronic

More Related Videos

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness05:51

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness

Published on: May 3, 2018

17.4K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

361

Related Concept Videos

Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
522
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
705
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
605
Assessment of blood pressure in brachial artery(two-step method)01:23

Assessment of blood pressure in brachial artery(two-step method)

Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
658
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
391
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K