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Managing Hypertension and Reducing Cardiovascular Events in Asia: Insights from the HOPE Asia Network

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Medriva Correspondents
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Managing Hypertension and Reducing Cardiovascular Events in Asia: Insights from the HOPE Asia Network

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Understanding Hypertension and its Implications

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Recent papers published by the HOPE Asia Network have delved into the management of hypertension and organ protection to achieve zero cardiovascular events in Asia. This initiative is critical given the pressing burden of hypertension and cardiovascular diseases in the region and globally.

The first review paper unraveled the intriguing link between sleep apnea, abnormal circadian blood pressure rhythm, and the pathophysiology of Alzheimer's disease. The second review paper shed light on the association between cognitive impairment and heart failure, with a particular emphasis on the role of abnormal circadian blood pressure rhythm.

Sleep Disturbances, Hypertension, and Depression

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One of the studies referenced is a cross-sectional study with data derived from the Indonesian Family Life Survey Fifth Wave 2014-2015. This study investigated the mediating role of sleep disturbance in the association between hypertension and depression. The findings indicate that sleep disturbance partially mediated the association between hypertension and depression, and managing sleep disturbances could therefore serve as both a treatment and primary prevention measure for depression and hypertension.

Digital Medicine in Cardiovascular Diseases

An analysis of studies on digital medicine in cardiovascular diseases from 2004 to 2022 highlighted the development process, knowledge structure, research hotspots, and future trends. The utilization of wearable mobile devices in the context of cardiovascular diseases and the potential of machine learning in delivering clinical care for atrial fibrillation and disease prediction models using neural networks were identified as future areas of focus.

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Controlling Hypertension with Family Physician Contracted Service

Research on the control rate of hypertension under family physician contracted service (FPCS) revealed that FPCS could effectively improve the control rate by 19%. The control effect of hypertension in the elderly was found to be better than that in the working age population, suggesting that FPCS should receive more focus in the future.

High Blood Pressure and Stroke Risk in Black Women

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Another crucial study suggests that Black women treated for high blood pressure in their 30s and 40s may face a substantially higher risk for having a stroke than their peers without a history of high blood pressure treatment. Hypertension rates among Black adults in the U.S. are among the highest in the world, further emphasizing the need for effective hypertension management strategies.

Global Efforts to Manage and Treat Hypertension

On a global scale, efforts to manage and treat hypertension are gaining traction. The World Health Organization (WHO) launched its first-ever global report on hypertension, and the 7-1-7 Alliance was formed to prevent epidemics. Initiatives are being implemented to improve epidemic preparedness, reduce trans fat exposure, implement nutrition standards for public schools, and leverage design thinking in developing innovative public health solutions.

Conclusion

In conclusion, managing hypertension effectively requires a holistic approach, encompassing lifestyle modifications, innovative treatment strategies, and digital health interventions. The recent insights from the HOPE Asia Network and other studies highlight the importance of advancing research and practice in this area to reduce the burden of cardiovascular diseases and improve public health.

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