Die immense Bedeutung des Bluthochdrucks erwächst nicht nur aus der Häufigkeit der
Erkrankung, sondern besonders aus dem mit der Erkrankung einhergehenden erhöhten kardiovaskulären
Risiko. Bis zu 10 Millionen Todesfälle pro Jahr gehen weltweit auf erhöhten Blutdruck
zurück. Diese Übersicht über die möglichen Ursachen, Diagnostik und leitliniengerechte
Therapie soll helfen, die Versorgung von Patienten mit arterieller Hypertonie zu verbessern.
Abstract
Arterial hypertension affects about one third of the German population with a prevalence
increasing with age up to 60 %. Globally, more than a quarter gedoppelt of the population
are considered hypertensive, resulting in a total of more than one billion people.
Not only due to such high prevalence, but also because of its multiple cardiovascular,
renal, ocular, and cognitive complications, arterial hypertension is a leading contributor
to the global burden of disease and responsible for up to 10 million deaths worldwide.
Contrary to the great importance of arterial hypertension resulting from such high
prevalence and immense impact on health worldwide, awareness of disease is low in
affected people. Less than every second patient knows about his or her disease status
and less than 40 % of patients in Europe show adequate blood pressure control with
a treatment target of < 140/90 mmHg despite antihypertensive treatment. This overview
of arterial hypertension, its etiology, diagnostic tools, and therapeutic options
aims to improve the understanding of arterial hypertension and to facilitate the diagnostic
and therapeutic approach, eventually resulting in a better and more successful handling
of patients with arterial hypertension.
Schlüsselwörter
arterielle Hypertonie - nicht medikamentöse antihypertensive Therapie - Antihypertensiva
- Pseudohypertonie - Therapie-Adhärenz - sekundäre Hypertonie-Ursachen - siRNA, single
pill
Key words
arterial hypertension - antihypertensive treatment - therapy adherence - secondary
hypertension
