Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension

Schutte, A. E. et al. (2023) Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension. Cardiovascular Research, 119(2), pp. 381-409. (doi: 10.1093/cvr/cvac130) (PMID:36219457) (PMCID:PMC9619669)

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Abstract

Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well-designed customized quality-of-care improvement framework.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Guzik, Professor Tomasz and Touyz, Professor Rhian
Authors: Schutte, A. E., Jafar, T. H., Poulter, N. R., Damasceno, A., Khan, N. A., Nilsson, P. M., Alsaid, J., Neupane, D., Kario, K., Beheiry, H., Brouwers, S., Burger, D., Charchar, F. J., Cho, M. C., Guzik, T. J., Haji Al-Saedi, G. F., Ishaq, M., Itoh, H., Jones, E. S. W., Khan, T., Kokubo, Y., Kotruchin, P., Muxfeldt, E., Odili, A., Patil, M., Ralapanawa, U., Romero, C. A., Schlaich, M. P., Shehab, A., Mooi, C. S., Steckelings, U. M., Stergiou, G., Touyz, R. M., Unger, T., Wainford, R. D., Wang, J.-G., Williams, B., Wynne, B. M., and Tomaszewski, M.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Cardiovascular Research
Publisher:Oxford University Press
ISSN:0008-6363
ISSN (Online):1755-3245
Published Online:11 October 2022
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in Cardiovascular Research 119(2): 381-409
Publisher Policy:Reproduced under a Creative Commons License

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