Ferdinand Keith C, Reddy Tina K, Vo Thanh N
Tulane University School of Medicine, New Orleans, Louisiana, USA.
Curr Opin Cardiol. 2021 Jul 1;36(4):436-443. doi: 10.1097/HCO.0000000000000866.
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.
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.
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.
高血压(HTN)是全球心血管疾病(CVD)最普遍的危险因素,影响着13.9亿人。本综述讨论了近期关于全球高血压负担以及全球不同地区高血压患病率、治疗和控制方面的新观念的文献。
基于社区的干预措施和远程医疗可能有助于增加医疗服务的可及性,并识别/协助高血压患者,尤其是在那些面临地理和经济医疗障碍的人群中。家庭血压监测对不同地区的高血压控制有益。复方制剂已被证明对降低高血压和心血管疾病风险有益。在高危COVID-19患者中继续使用血管紧张素转换酶抑制剂和血管紧张素受体阻滞剂进行治疗似乎是合适的。
广泛的研究表明,早期筛查/治疗、生活方式改变和药物治疗对于全球控制高血压至关重要。本综述重点介绍了近期关于全球正在使用的有效干预措施的研究和新观念。