Isolated systolic hypertension in Asia

Tsung-Ying Tsai; Hao-Min Cheng; Shao-Yuan Chuang; Yook-Chin Chia; Arieska Ann Soenarta; Huynh Van Minh; Saulat Siddique; Yuda Turana; Jam Chin Tay; Kazuomi Kario; Chen-Huan Chen

doi:10.1111/jch.14111

Isolated systolic hypertension in Asia

J Clin Hypertens (Greenwich). 2021 Mar;23(3):467-474. doi: 10.1111/jch.14111. Epub 2020 Nov 29.

Authors

Tsung-Ying Tsai¹, Hao-Min Cheng^{1

2

3

4}, Shao-Yuan Chuang⁵, Yook-Chin Chia^{6

7}, Arieska Ann Soenarta⁸, Huynh Van Minh⁹, Saulat Siddique¹⁰, Yuda Turana¹¹, Jam Chin Tay¹², Kazuomi Kario¹³, Chen-Huan Chen^{1

2

3

4}

Affiliations

¹ Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
² Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
³ Center for Evidence-based Medicine, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan.
⁴ Institute of Public Health and Community Medicine Research Center, National Yang-Ming University School of Medicine, Taipei, Taiwan.
⁵ Institute of Population Health Science, National Health Research Institutes, Miaoli, Taiwan.
⁶ Department of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Malaysia.
⁷ Department of Primary Care Medicine, Faculty of Medicine, University of Malaya Kuala, Lumpur, Malaysia.
⁸ Department of Cardiology and Vascular Medicine, Faculty of Medicine, Harapan Kita, University of Indonesia-National Cardiovascular Center, Jakarta, Indonesia.
⁹ Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
¹⁰ Fatima Memorial Hospital, Lahore, Pakistan.
¹¹ School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
¹² Department of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
¹³ Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.

Abstract

Isolated systolic hypertension (ISH) is the most common type of essential hypertension in the elderly and young adults. With rapid industrialization and population aging, the prevalence of ISH in Asia will rise substantially. Asian populations have distinct epidemiological features, risk factors and are especially vulnerable to ISH. There is a pressing need for Asian countries to formulate their unique strategies for control of ISH. In this review, we focus on the (1) epidemiology and pathophysiology, (2) risk factors and impact on outcomes, and (3) treatment goal and strategy for ISH in Asia.

Keywords: Asia; hypertension; isolated systolic hypertension.

Publication types

Review

MeSH terms

Aged
Asia / epidemiology
Humans
Hypertension* / diagnosis
Hypertension* / drug therapy
Hypertension* / epidemiology
Prevalence
Risk Factors
Systole
Young Adult