1.Treatment of arterial hypertension in 2014 Hypertension Epidemics Novel approaches to nonpharmacological treatment New type of antihypertensive agents

2. Taiwanese population at high risk 0 10 20 30 40 50 60 70 80 2004 0 5 10 15 20 25 30 28.3 7.7 25.1 5.7 Hypertensive population > 4 million 3. 4.2 6.6 11.7 26.4 37.6 44.7 62.8 53.2 0.4 1.1 2.8 13.3 31.1 49.2 59.8 61.1 0 10 20 30 40 50 60 70 Male Female Prevalence of Hypertension by Age & Gender Group in Taiwan Age Group 140 mm Hg or DBP>90 mm Hg or drug. . 2004. 20-29 40-49 50-59 60-69 70-79 4. Global Mortality 2004: Impact of Hypertension and Other Health Risk Factors 5. 6. Awareness, Treatment and Control Rate of Hypertension in Taiwan 0 20 40 60 80 100 Awareness Treatment Control Awareness Treatment Control 43 31 15 59 47 21 53 45 22 79 64 29 Male Female Source: 1993-1996 Definition: 140/90 mmHg. . 2003. 1993-1996 2002 7. USA 53.1 Canada 41.0 Mexico 21.8 Turkey 19.8 Germany 33.6 Spain 38.8 Greece 49.5 England 29.2 Egypt 33.5 South Africa 47.6 Italy 37.5 Worldwide Blood Pressure Control in Treated Hypertensive Patients Kearney et al. J Hypertens 2004; 22: 11 Japan 55.7 China 28.8 Taiwan 18.0 8. Prevalence, awareness, treatment and control of hypertension in 628 rural and urban communities from 17 high, middle and low income countries The PURE Hypertension report (Prospective Urban Rural Epidemiology) JAMA. 2013;310(9):1-10 9. * among all patients with hypertension 40,7 20 0 40 100 80 60 Prevalence 46,4 40,6 13,1 10 0 20 50 40 30 Awareness Treated Controlled % % Hypertension prevalence, awareness, treatment & control N = 143,830 JAMA. 2013;310(9):1-10 10. % % % Awareness, treatment and Control by urban- rural location 20 60 50 40 30 HIC UMIC LMIC LIC Awareness 10 50 40 30 20 HIC UMIC LMIC LIC Treatment HIC UMIC LMIC LIC Control 20 15 10 5 0 urban rural 11. Hypertension awareness, treatment and control in national surveys from England, USA and Canada 65.3 51.3 27.3 83.4 76.9 65.8 81.1 85 52.8 0 10 20 30 40 50 60 70 80 90 Awareness Treatment Controlled England Canada USA BMJ Open 2013;3:e003423 BP control rate: > > 12. Hypertension awareness, treatment and control in national surveys from England, USA and Canada BMJ Open 2013;3:e003423 Stroke Mortality IHD Mortality CVA/IHD mortality: < < 13. Treatment of arterial hypertension in 2014 Hypertension Epidemics Novel approaches to nonpharmacological treatment New type of antihypertensive agents 14. Non-pharmacological Measures: 1 LSM: Lifestyle Modification 15. Lifestyle Therapies in Hypertensive Adults: Summary Intervention Target Reduce foods with added Sodium < 2300 mg /day Alcohol restriction < 2 drinks/day Body Weight loss BMI