Improving Hypertension Control in Vulnerable Populations Around the World

Curr Cardiol Rep. 2023 Oct;25(10):1319-1326. doi: 10.1007/s11886-023-01947-x. Epub 2023 Sep 2.

Abstract

Purpose of review: This review aims to describe recent literature, guidelines, and approaches to reveal and reduce hypertension burden in disadvantaged populations. Hypertension is a major global health issue and the most potent risk factor for cardiovascular disease, morbidity, and mortality. It disproportionally affects vulnerable populations, including low-, middle-, and high-income countries. Specifically, the burden of hypertension is higher in US Black adults, and addressing social determinants of health is crucial for reducing disparities among vulnerable populations worldwide.

Recent findings: Multifactorial approaches, including lifestyle modifications and combination drug therapy, are essential in managing hypertension. Community-based interventions, team-based care, and telehealth strategies can also improve hypertension control. Additionally, renal nerve denervation is a potential treatment for resistant hypertension. Overall, to reduce the global hypertension burden among vulnerable populations, emphasis should be placed on equitable healthcare access and application of evidence-based medicine.

Keywords: Blood pressure control; Cardiovascular disease; Emerging approaches; Hypertension; Social determinants; Vulnerable populations.

Publication types

  • Review

MeSH terms

  • Adult
  • Cardiovascular Diseases*
  • Humans
  • Hypertension* / therapy
  • Risk Factors
  • Vulnerable Populations