Key result
Hypertension affects nearly one-quarter of women and one-third of men in Korea, with national control rates remaining stable at approximately 45% for more than a decade.
Why the study?
Hypertension control rates have remained stable in Korea despite guidelines recommending home blood pressure monitoring, and there is a need for local evidence regarding optimal BP thresholds and targets.
Despite stable national control rates of 45%, home blood pressure monitoring and individualized risk assessment remain essential for managing hypertension in Korea.
Hypertension is present in almost one-quarter of women and one-third of men in Korea. Although mortality rates from stroke and myocardial infarction (MI) appear to be decreasing, stroke is a more common cause of cardiovascular death than MI. This may be due to better control of hypertension, but national control rates have remained stable for more than a decade (at about 45%). Korean Society of Hypertension guidelines have recommended the use of home blood pressure monitoring (HBPM) since 2007, but a recent survey suggests that physicians have concerns about the accuracy of HBPM devices. Nevertheless, use of HBPM is indispensable to monitoring and achieving blood pressure (BP) control. Current diagnostic and treatment thresholds and recommendations are based on Asian consensus document guidance. Use of dual combination antihypertensive therapy is slightly more common than use of monotherapy in Korea, while triple combination therapy is used less often. Angiotensin receptor blockers and calcium channel blockers are the most popular choices for antihypertensive therapy and are the most widely used combination. HBPM plays an important role in evaluating and monitoring BP, particularly in Asians. Individualized cardiovascular risk assessment and better BP control are required to prevent cardiovascular diseases, but there is a need for local evidence relating to optimal BP thresholds and targets.
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Park et al. (2019) conducted a review in Hypertension. Hypertension management was evaluated. Hypertension affects nearly one-quarter of women and one-third of men in Korea, with national control rates remaining stable at approximately 45% for more than a decade.
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