Global interventions in hypertension: new and emerging concepts

Curr Opin Cardiol. 2021 Jul 1;36(4):436-443. doi: 10.1097/HCO.0000000000000866.

Abstract

Purpose of review: Hypertension (HTN) is the most prevalent risk factor for cardiovascular disease (CVD) worldwide, affecting 1.39 billion people. This review discusses recent literature regarding the global burden of HTN and emerging concepts in prevalence, treatment, and control in different regions around the globe.

Recent findings: Community-based interventions and telemedicine may be useful in increasing access to care and identifying/assisting patients with HTN, especially in populations with geographical and economic barriers to healthcare. Home blood pressure monitoring is beneficial for HTN control in diverse regions. Polypills have proven benefits to decrease HTN and CVD risk. Continuation of treatment with angiotensin-converting-enzyme inhibitors and angiotensin-receptor blockers in high risk COVID-19 patients appears appropriate.

Summary: Extensive research demonstrates that early screening/treatment, lifestyle modification, and pharmacotherapy are essential to control HTN worldwide. This review highlights recent research and novel concepts on effective interventions being used globally.

Publication types

  • Review

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors
  • Blood Pressure Monitoring, Ambulatory
  • COVID-19*
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / epidemiology
  • SARS-CoV-2

Substances

  • Angiotensin-Converting Enzyme Inhibitors