Hengel Felicitas E, Sommer Christian, Wenzel Ulrich
Dtsch Med Wochenschr. 2022 Apr;147(7):414-428. doi: 10.1055/a-1577-8663. Epub 2022 Mar 28.
Arterial hypertension affects about one third of the German population with a prevalence increasing with age up to 60 %. Globally, more than a quarter gedoppelt of the population are considered hypertensive, resulting in a total of more than one billion people. Not only due to such high prevalence, but also because of its multiple cardiovascular, renal, ocular, and cognitive complications, arterial hypertension is a leading contributor to the global burden of disease and responsible for up to 10 million deaths worldwide. Contrary to the great importance of arterial hypertension resulting from such high prevalence and immense impact on health worldwide, awareness of disease is low in affected people. Less than every second patient knows about his or her disease status and less than 40 % of patients in Europe show adequate blood pressure control with a treatment target of < 140/90 mmHg despite antihypertensive treatment. This overview of arterial hypertension, its etiology, diagnostic tools, and therapeutic options aims to improve the understanding of arterial hypertension and to facilitate the diagnostic and therapeutic approach, eventually resulting in a better and more successful handling of patients with arterial hypertension.
动脉高血压影响着约三分之一的德国人口，其患病率随年龄增长而上升，最高可达60%。在全球范围内，超过四分之一的人口被认为患有高血压，总计超过10亿人。不仅因其高患病率，还因其多种心血管、肾脏、眼部和认知并发症，动脉高血压是全球疾病负担的主要促成因素，在全球范围内导致多达1000万人死亡。与动脉高血压因其高患病率和对全球健康的巨大影响而具有的重要性相反，患者对该疾病的知晓率较低。不到一半的患者知道自己的疾病状况，在欧洲，尽管接受了抗高血压治疗，但仍有不到40%的患者血压得到充分控制，治疗目标为<140/90 mmHg。本动脉高血压概述，包括其病因、诊断工具和治疗选择，旨在增进对动脉高血压的理解，并促进诊断和治疗方法，最终更好、更成功地治疗动脉高血压患者。
