Underdiagnosis and Poor Adherence Are Contributing to Rising Cases of Hypertension

Essential hypertension, a significant risk factor for cardiovascular diseases (CVD), kidney failure, and all-cause mortality, is largely reversible with lifestyle changes and highly efficacious medications. However, the prevalence of raised blood pressure (BP) is increasing globally. Considering its lack of symptoms, many people remain undiagnosed and unaware of the risks. In addition, a lack of perceived benefit makes adhering to pharmacological and non-pharmacological interventions challenging for patients. In this article, Peter Blankestijn from University Hospital Utrecht in the Netherlands speaks about the hidden dangers of essential hypertension, and how regular BP testing and greater public awareness could help identify undiagnosed cases and reduce risk. He also explains the challenges of adherence and how healthcare professionals can support patients to make the preventative changes that could save their lives.