Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Oct;25(10):1319-1326.
doi: 10.1007/s11886-023-01947-x. Epub 2023 Sep 2.

Improving Hypertension Control in Vulnerable Populations Around the World

Shamitha A Manohar  1 , Rachel M Charbonnet  1 , Tina K Reddy  1 , Keith C Ferdinand  2
Affiliations
Review

Improving Hypertension Control in Vulnerable Populations Around the World

Shamitha A Manohar et al. Curr Cardiol Rep. 2023 Oct.

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.

PubMed Disclaimer

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. World Heart Report 2023: Confronting the world’s number one killer. Geneva, Switzerland. World Heart Federation. 2023.
    1. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/apha/ash/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Hypertension. 2018;71(6). https://doi.org/10.1161/HYP.0000000000000065 .
    1. Whelton SP, McEvoy JW, Shaw L, Psaty BM, Lima JA, Budoff M, et al. Association of normal systolic blood pressure level with cardiovascular disease in the absence of risk factors. JAMA Cardiol. 2020;5(9):1011. https://doi.org/10.1001/jamacardio.2020.1731 . - DOI - PubMed - PMC
    1. •• Mancia G, Kreutz R, Brunström M, Burnier M, Grassi G, Januszewicz A, et al. 2023 ESH guidelines for the management of arterial hypertension the task force for the management of arterial hypertension of the European Society of Hypertension endorsed by the European Renal Association (ERA) and the International Society of Hypertension (ISH). J Hypertens. 2023. Publish Ahead of Print. https://doi.org/10.1097/HJH.0000000000003480 . This reflects the current, comprehensive review of the literature of hypertension.
    1. ElSayed NA, Aleppo G, Aroda VR, Bannuru RR, Brown FM, Bruemmer D, et al. 10. Cardiovascular disease and risk management: standards of care in diabetes—2023. Diabetes Care. 2022;46(Supplement_1). https://doi.org/10.2337/dc23-S010 .

LinkOut - more resources