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Background: Today, medical technology and healthcare advances have led to an increased life expectancy; however, the prevalence of chronic diseases such as hypertension, diabetes mellitus, stroke, and cardiovascular events is continuously rising. In particular, hypertension is a crucial factor in cardiovascular and cerebrovascular diseases, and it is known that prevention and management are essential.

Objectives: This study investigates the prevalence and management of hypertension in Korean adults and evaluates its correlation with the risk of cardiovascular disease (CVD) and stroke.

Method: The Korean National Health and Nutritional Examination Survey (KNHANES) database was utilized for this study (https://knhanes.cdc.go.kr). The subjects of this survey were sampled to represent the entire population of Korea. The study aims to assess the risk of CVD and stroke according to the duration of hypertension. We also examined the impact of hypertension control on the risk of CVD and stroke. This study is a retrospective cross-sectional study, so future risks cannot be assessed, but only the disease status at the same time point.

Results: A total of 61,379 subjects were enrolled in the KNHANES database, representing Korea's population of 49,068,178 subjects. The prevalence of hypertension was 25.7% (9,965,618 subjects) of the total population. The prevalence of hypertension increased rapidly with the age of the population. As the duration of hypertension increased, the risks of CVD and stroke also increased. When hypertension lasts longer than 20 years, ischemic heart disease, myocardial infarction, and stroke prevalence were 14.6%, 5.0%, and 12.2%, respectively. However, achieving a target blood pressure (BP) goal below 140/90 mmHg reduced the risk of all CVD and stroke by nearly half. Nevertheless, fewer than two-thirds of patients in Korea with hypertension achieved this targeted blood pressure goal.

Conclusions: Our study confirmed that the prevalence of hypertension in Korean adults was higher than a quarter but also showed that the risk of CVD and stroke was significantly reduced by achieving optimal blood pressure control. Based on these results, policy efforts are needed to reach the target BP and improve the treatment rates for hypertension in Korea.

Competing Interests: The authors have no competing interests to declare.

Titel:	Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults.
Autor/in / Beteiligte Person:	Choi, BG ; Kim, JB ; Rha, SW ; Lee, MW ; Lee, MS ; Kim, SW ; Hong, S
Link:	Full Text Finder (Volltext)
Zeitschrift:	Global heart, Jg. 18 (2023-05-10), Heft 1, S. 25
Veröffentlichung:	2020- : [London] : Ubiquity Press ; <i>Original Publication</i>: [Oxford] : Elsevier Ltd., 2023
Medientyp:	academicJournal
ISSN:	2211-8179 (electronic)
DOI:	10.5334/gh.1201
Schlagwort:	Humans Adult Cross-Sectional Studies Retrospective Studies Blood Pressure Republic of Korea epidemiology Risk Factors Cardiovascular Diseases epidemiology Cardiovascular Diseases prevention & control Hypertension epidemiology Stroke epidemiology Stroke prevention & control
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Glob Heart] 2023 May 10; Vol. 18 (1), pp. 25. <i>Date of Electronic Publication: </i>2023 May 10 (<i>Print Publication: </i>2023). MeSH Terms: Cardiovascular Diseases* / epidemiology ; Cardiovascular Diseases* / prevention & control ; Hypertension* / epidemiology ; Stroke* / epidemiology ; Stroke* / prevention & control ; Humans ; Adult ; Cross-Sectional Studies ; Retrospective Studies ; Blood Pressure ; Republic of Korea / epidemiology ; Risk Factors References: BMJ. 2012 Jan 13;344:e181. (PMID: 22246269) ; JAMA. 2014 Feb 5;311(5):507-20. (PMID: 24352797) ; Sci Rep. 2018 Sep 3;8(1):13155. (PMID: 30177714) ; PLoS Med. 2013;10(7):e1001490. (PMID: 23935461) ; N Engl J Med. 2008 May 1;358(18):1887-98. (PMID: 18378519) ; J Am Coll Cardiol. 2018 May 15;71(19):e127-e248. (PMID: 29146535) ; Lancet. 2013 Feb 23;381(9867):690-7. (PMID: 23410609) ; Pulse (Basel). 2015 May;3(1):21-8. (PMID: 26587454) ; Bull World Health Organ. 2014 Jan 1;92(1):29-41. (PMID: 24391298) ; Clin Hypertens. 2019 Aug 1;25:16. (PMID: 31388451) ; Epidemiol Health. 2014 Apr 30;36:e2014002. (PMID: 24839580) ; PLoS One. 2014 Aug 04;9(8):e103169. (PMID: 25090617) ; Nat Rev Cardiol. 2018 Sep;15(9):499-500. (PMID: 30065260) ; Lancet Reg Health Am. 2022 May;9:None. (PMID: 35711684) ; Yonsei Med J. 2018 May;59(3):356-365. (PMID: 29611397) ; Natl Med J India. 2004 Jul-Aug;17(4):227. (PMID: 15372777) Contributed Indexing: Keywords: blood pressure; hypertension; prevalence; target blood pressure Entry Date(s): Date Created: 20230515 Date Completed: 20230517 Latest Revision: 20230621 Update Code: 20240514 PubMed Central ID: PMC10178668

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Current Status of Cardiovascular Disease According to the Duration of Hypertension in Korean Adults.