The Rise and Fall of Hypertension: Lessons Learned from Eastern Europe |
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Authors: | Agata Bielecka-Dabrowa Wilbert S Aronow Jacek Rysz Maciej Banach |
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Institution: | (1) Department of Hypertension, WAM University Hospital in Lodz, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland;(2) Department of Medicine, New York Medical College, Valhalla, NY, USA;(3) Department of Nephrology, Hypertension and Family Medicine, Chair of Nephrology and Hypertension, Medical University of Lodz, Lodz, Poland; |
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Abstract: | Hypertension is a progressive cardiovascular syndrome that arises from many differing, but interrelated, etiologies. Hypertension
is the most prevalent cardiovascular disorder, affecting 20% to 50% of the adult population in developed countries. Arterial
hypertension is a major risk factor for cardiovascular diseases and death. Epidemiologic data have shown that control of hypertension
is achieved in only a small percentage of hypertensive patients. Findings from the World Health Organization project Monitoring
Trends and Determinants in Cardiovascular Diseases (MONICA) showed a remarkably high prevalence (about 65%) of hypertension
in Eastern Europeans. There is virtually no difference however, between the success rate in controlling hypertension when
comparing Eastern and Western European populations. Diagnosing hypertension depends on both population awareness of the dangers
of hypertension and medical interventions aimed at the detecting elevated blood pressure, even in asymptomatic patients. Medical
compliance with guidelines for the treatment of hypertension is variable throughout Eastern Europe. Prevalence of hypertension
increases with age, and the management of hypertension in elderly is a significant problem. The treatment of hypertension
demands a comprehensive approach to the patient with regard to cardiovascular risk and individualization of hypertensive therapy. |
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