Hypertension best treatment options 2023
DOI:
https://doi.org/10.18203/2349-3933.ijam20232142Keywords:
Hypertension, Treatment, Guidelines, CombinationAbstract
Systemic arterial hypertension is main cause of cerebrovascular events and coronary disease. Therefore, treatment and control of this disease is of great importance in public health. Arterial hypertension is a common disease that is defined as the persistent elevation of blood pressure more than 130/80 mm HG by the American college of cardiology (ACC)/American heart association (AHA), and by 8th joint national committee (JNC 8) criteria specify≥140/90 mmHg. The treatment of hypertension is based on non-pharmacological strategies and pharmacological. The best treatment for arterial hypertension is the combination of non-pharmacological strategies and pharmacological. We think that the most important step in a plan for primary care providers should be non-pharmacological strategies, principally the change of the diet of the patient, and encouraging them to lose weight and do physical activity daily. In the case of pharmacological strategies, as we saw in different studies and guidelines, all support the use of a combination of different medications. Because this way patients had better responses to treatment and decreased the rate of complications.
References
Krist AH, Davidson KW, Mangione CM. Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2021;325(16):1650-56.
Whelton PK, Carey RM, Aronow WS. 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):E13-5.
James PA, Oparil S, Carter BL. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.
Carey RM, Wright JT, Taler SJ, Whelton PK. Guideline-Driven Management of Hypertension: An Evidence-Based Update. Circ Res. 2021;128(7):827.
Ferdinand KC, Vo TN, Echols MR. State-of-the-Art review: Hypertension practice guidelines in the era of COVID-19. Am J Prev Cardiol. 2020;2:100038.
Lee DW, Jung M, Wang HW, Khan Z, Pinton P. Systematic Review with Network Meta-Analysis: Comparative Efficacy and Safety of Combination Therapy with Angiotensin II Receptor Blockers and Amlodipine in Asian Hypertensive Patients. Int J Hypertens. 2019;2019:9516279.
Cheung AK, Chang TI, Cushman WC. KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. 2021;99(3):S1-87.
Oliveros E, Patel H, Kyung Sl. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol. 2020;43(2):99.
Awosika A, Khan A, Adabanya U, Omole AE, Millis RM. Aldosterone Synthase Inhibitors and Dietary Interventions: A Combined Novel Approach for Prevention and Treatment of Cardiovascular Disease. Cureus. 2023;1.
practice guidelines. Hypertension. 2018;71(6):E13-E115. doi:10.1161/HYP.0000000000000065/-/DC2
Cheung AK, Chang TI, Cushman WC, et al. KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney Int. 2021;99(3):S1-S87. doi:10.1016/J.KINT.2020.11.003/ATTACHMENT/811C2AB7-6578-41E2-8B89-FD7444CD5555/MMC1.PDF
Oliveros E, Patel H, Kyung S, et al. Hypertension in older adults: Assessment, management, and challenges. Clin Cardiol. 2020;43(2):99. doi:10.1002/CLC.23303
Awosika A, Khan A, Adabanya U, Omole AE, Millis RM. Aldosterone Synthase Inhibitors and Dietary Interventions: A Combined Novel Approach for Prevention and Treatment of Cardiovascular Disease. Cureus. Published online March 15, 2023. doi:10.7759/cureus.36184
