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Mortality patterns in hypertension

Arima, Hisatomi; Barzi, Federica; Chalmers, John

Journal of Hypertension:
doi: 10.1097/01.hjh.0000410246.59221.b1
Supplement Articles
Abstract

Raised blood pressure (BP) is responsible for 7.6 million deaths per annum worldwide (13.5% of the total), more than any other risk factors. Around 54% of stroke and 47% of coronary heart disease are attributable to high BP. Over 80% of this burden occurs in low and middle income countries (LMIC).

BP and cardiovascular mortality are rising rapidly in LMIC. Although age-specific BP and cardiovascular mortality are falling in developed nations, the overall number of cardiovascular death continues to rise in accord with the rapid aging of societies.

Because of the continuous relationship between BP and cardiovascular deaths down to 115/75 mmHg, BP-related disease also contributes to cardiovascular death among people below the hypertensive threshold of 140/90 mmHg.

Hypertension remains “the silent killer”. Reductions in the burden of BP-related death require the parallel application of the population strategy at community level and the clinical strategy focusing on new and improved treatments for people with hypertension.

Author Information

The George Institute for Global Health, University of Sydney and the Royal Prince Alfred Hospital, Sydney, NSW 2050 Australia

Correspondence to Professor John Chalmers, The George Institute for Global Health, University of Sydney and the Royal Prince Alfred Hospital, PO Box M201, Missenden Rd, NSW 2050, Australia Tel: +61 2 9993 4587; fax: +61 2 9993 4588; e-mail: chalmers@georgeinstitute.org.au

© 2011 Lippincott Williams & Wilkins, Inc.