What is the clinical evidence from this study?

Study design: Review. Population: Arterial hypertension. Intervention: National action plan (prevention, diagnosis, treatment, adherence).

What question did this study set out to answer?

To establish an evidence-based national framework targeting prevention, screening, standardized therapy, and long-term adherence to mitigate hypertension and cardiovascular mortality in Romania.

August 14, 2026Romanian Journal of CardiologyOpen Access

Arterial hypertension in Romania: A national call for action through prevention, diagnosis, treatment and adherence

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Why the study?

Arterial hypertension is the leading cause of cardiovascular mortality in Romania with prevalence over 45%, yet blood pressure control remains suboptimal.

Key Points

To establish an evidence-based national framework targeting prevention, screening, standardized therapy, and long-term adherence to mitigate hypertension and cardiovascular mortality in Romania.
Synthesized Romanian epidemiological surveys, including SEPHAR II–IV and PREDATORR, alongside international management models.
Formulated an implementation strategy across four foundational pillars: lifestyle prevention, restructured screening, standardized fixed-dose combination treatments, and digital adherence monitoring.
Hypertension prevalence among adults in Romania exceeds 45%, documented at 46% in SEPHAR IV and 47.4% in PREDATORR, rising to over 75% in individuals over 60 years.
Cardiometabolic co-morbidities cluster heavily in screened individuals, with 76% classified as overweight or obese, 55% presenting with elevated total cholesterol, and 15.17% exhibiting increased fasting glucose.
Systematic execution of targeted nutritional policies, digital registries, and standardized clinical pathways aims to elevate blood pressure control rates toward 70% by 2030.

Structured PICO

Population

Adult population in Romania with or at risk of arterial hypertension (estimated prevalence >45%)

Intervention

Integrated national action plan structured around four key pillars: prevention, diagnosis, treatment, and adherence

Implementation of a coordinated national framework focusing on prevention, diagnosis, treatment, and adherence could significantly reduce the cardiovascular burden of hypertension in Romania.

Limitations

Rural workforce shortages
Unequal access to specialists and investigations
Insufficient use of structured risk assessment
Low health literacy
Need for household-level lifestyle interventions

Discussion

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Implication

Highlights need for structured HTN interventions in Romania; leaves open rigorous testing of the four-pillar plan.

Cite This Study

Nișulescu et al. (2026) conducted a review in Arterial hypertension. National action plan (prevention, diagnosis, treatment, adherence) was evaluated. A coordinated national framework focusing on prevention, diagnosis, treatment, and adherence is proposed to help achieve blood pressure control rates approaching 70% by 2030 in Romania.

synapsesocial.com/papers/6a7ec764b70b84ec8b913ac2 https://doi.org/10.2478/rjc-2026-0021

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Arterial hypertension in Romania: A national call for action through prevention, diagnosis, treatment and adherence

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Arterial hypertension in Romania: A national call for action through prevention, diagnosis, treatment and adherence

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

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